Individual
THOMAS J KRISANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD COURT ROAD, NORTHWEST HOSPITAL EMERGENCY DEPT., RANDALLSTOWN, MD 21133
(410) 521-5950
(410) 828-6004
Mailing address
5401 OLD COURT ROAD, NORTHWEST HOSPITAL EMERGENCY DEPT., RANDALLSTOWN, MD 21133
(410) 521-5950
(410) 828-6004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0053345
MD
207P00000X
Emergency Medicine Physician
MD-043477-E
PA
207P00000X
Emergency Medicine Physician
MD043477E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246601500
—
MD
01
—
75859901
BLUE SHIELD
MD
01
—
930078599
RAILROAD MED
MD
Enumeration date
12/26/2006
Last updated
04/05/2023
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