Organization
DONNA R. CRISCENZO, M.D., LLC
Active
Organization
DONNA R. CRISCENZO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA R. CRISCENZO M.D. (OWNER)
(203) 458-2888
Entity
Organization
Contact information
Practice address
199 GOOSE LN, GUILFORD, CT 06437-2115
(203) 458-2888
(203) 458-2889
Mailing address
199 GOOSE LN, GUILFORD, CT 06437-2115
(203) 458-2888
(203) 458-2889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022662
CT
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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