Healthcare Provider Details

I. General information

NPI: 1053052563
Provider Name (Legal Business Name): FLORIAN CHRIS ANI CRAAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1576 MERRITT BLVD STE 14
DUNDALK MD
21222-2114
US

IV. Provider business mailing address

326 NICHOLS RD
FITCHBURG MA
01420-1914
US

V. Phone/Fax

Practice location:
  • Phone: 410-650-2000
  • Fax: 866-639-5353
Mailing address:
  • Phone: 978-343-5270
  • Fax: 978-343-5390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0103714
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: