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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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