Individual
JOSEPH S CRISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12547 OCEAN GATEWAY, OCEAN CITY, MD 21842-9341
(410) 213-0119
(410) 213-2875
Mailing address
12547 OCEAN GATEWAY, OCEAN CITY, MD 21842-9341
(410) 213-0119
(410) 213-2875
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
D0050255
MD
207Q00000X
Family Medicine Physician
Primary
D0050255
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413639000
—
MD
Enumeration date
09/29/2005
Last updated
01/20/2015
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