Healthcare Provider Details

I. General information

NPI: 1497917942
Provider Name (Legal Business Name): WILLIAM H. CERRATO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5493
US

IV. Provider business mailing address

1113 HEALTHWAY DR
SALISBURY MD
21804-4470
US

V. Phone/Fax

Practice location:
  • Phone: 800-749-5191
  • Fax:
Mailing address:
  • Phone: 410-328-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberH72194
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number8336
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: