Individual
ERIC M CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 545-1506
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200300768
NC
207RC0000X
Cardiovascular Disease Physician
047289
CT
207RC0000X
Cardiovascular Disease Physician
060-0003499
VT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
047289
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
060-0003499
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001472893
—
CT
Enumeration date
09/01/2006
Last updated
06/25/2009
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