Criscuolo, Gregory R

Criscuolo, Gregory R is an individual health care provider with primary practice located at 330 Washington St Suite 540, Norwich CT 06360-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Criscuolo, Gregory R can be contacted via phone (860) 859-5137.

Contact Information

Primary practice address
330 Washington St Suite 540 Norwich CT 06360-2700
Phone: (860) 859-5137
Fax: (860) 859-5177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 030418 Connecticut

Profile Details

NPI number 1235170341
LBN Legal business name Criscuolo, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235170341 NPPES
Connecticut MEDICAID 001304188

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