Healthcare Provider Details

I. General information

NPI: 1043317100
Provider Name (Legal Business Name): FRANK J. CRIADO, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST SUITE # 570
BALTIMORE MD
21218-2867
US

IV. Provider business mailing address

3333 N CALVERT ST SUITE # 570
BALTIMORE MD
21218-2867
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-6400
  • Fax:
Mailing address:
  • Phone: 410-554-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD20138
License Number StateMD

VIII. Authorized Official

Name: DR. FRANK J. CRIADO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-554-6400