Cruciani, Mary C.

Cruciani, Mary C. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Cruciani, Mary C. can be contacted via phone (570) 271-6164.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1401
Fax: (570) 271-6141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD044498L Pennsylvania

Profile Details

NPI number 1780650085
LBN Legal business name Cruciani, Mary C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 11th, 2021 - about 3 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 1780650085 NPPES
Pennsylvania MEDICAID 001257967

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