Individual
DR. CRESCENZO GUILIO CALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 3RD AVE, SUITE B, KINGSTON, PA 18704-5809
(570) 288-3601
(570) 288-1726
Mailing address
423 3RD AVE, SUITE B, KINGSTON, PA 18704-5809
(570) 288-3601
(570) 288-1726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-031942-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075537
MEDPLUS
PA
05
—
0009642680002
—
PA
01
—
01042901
CAPITAL BLUE CROSS
DC
01
—
072892
FIRST PRIORITY HEALTH
PA
01
—
0900660001
MEDICARE DME
PA
01
—
20010385
AMERIHEALTH MERCY
PA
01
—
2Y6969
HEALTHNET
PA
01
—
505911
USHEALTHCARE
PA
Enumeration date
03/24/2006
Last updated
11/14/2007
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