Crispino, Carmine Raymond

Crispino, Carmine Raymond is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Crispino, Carmine Raymond can be contacted via phone (860) 442-7011.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 442-7011
Fax: (860) 444-5114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042164 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 042164 Connecticut

Profile Details

NPI number 1861467367
LBN Legal business name Crispino, Carmine Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Aug 8th, 2013 - about 11 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 1861467367 NPPES
Connecticut Other 010042164CT03 BLUE CROSS
Connecticut Other P3227288 BLUE CROSS
Connecticut MEDICAID 001421643 BLUE CROSS

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