Individual
MICHAEL A CRIVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S CEDAR CREST BLVD FL 3, ALLENTOWN, PA 18103-6202
(610) 402-8355
(610) 402-2877
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD027414E
PA
2086S0129X
Vascular Surgery Physician
MD027414E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001753132002
—
PA
05
—
00175313202
—
PA
Enumeration date
08/30/2005
Last updated
03/29/2018
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