Individual
CARMINE RAYMOND CRISPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-7011
(860) 444-5114
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-7011
(860) 444-5114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042164
CT
208M00000X
Hospitalist Physician
042164
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421643
—
CT
01
—
010042164CT03
BLUE CROSS
CT
01
—
P3227288
OXFORD
—
Enumeration date
02/20/2006
Last updated
08/08/2013
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