Krisanda, Thomas J

Krisanda, Thomas J is an individual health care provider with primary practice located at 5401 Old Court Road Northwest Hospital Emergency Dept., Randallstown MD 21133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Krisanda, Thomas J can be contacted via phone (410) 521-5950.

Contact Information

Primary practice address
5401 Old Court Road Northwest Hospital Emergency Dept. Randallstown MD 21133
Phone: (410) 521-5950
Fax: (410) 828-6004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD043477E Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-043477-E Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0053345 Maryland

Profile Details

NPI number 1770648370
LBN Legal business name Krisanda, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Apr 5th, 2023 - about last year

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 1770648370 NPPES
Maryland MEDICAID 246601500
Maryland Other 75859901
Maryland Other 930078599

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