| Michael A Crivaro, MD | |
|
1200 S Cedar Crest Blvd Fl 3, Allentown, PA 18103-6202 | |
| (610) 402-8355 | |
| (610) 402-2877 |
| Full Name | Michael A Crivaro |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1200 S Cedar Crest Blvd Fl 3, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851384291 | NPI | - | NPPES |
| 001753132002 | Medicaid | PA | |
| 00175313202 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD027414E (Pennsylvania) | Secondary |
| 208600000X | Surgery | MD027414E (Pennsylvania) | Primary |
| Entity Name | Via Affiliates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Integrated Wound Specialists Of Pennsylvania, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578882924 PECOS PAC ID: 0143414714 Enrollment ID: O20101028000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Crivaro, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Michael A Crivaro, MD 1200 S Cedar Crest Blvd Fl 3, Allentown, PA 18103-6202 Ph: (610) 402-8355 |
Robert D Barraco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103 Phone: 610-402-1350 Fax: 610-402-1356 | |
Rovinder Singh Sandhu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-1350 | |
Heiwon Chung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103 Phone: 610-402-7884 | |
Heather Lynn Geist, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103 Phone: 610-402-1350 | |
Saverio Antonio Esposito, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
Dr. Marissa Lynn Dallara, MD Surgery Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
Cristhian Jorge Perez Torrico, MD Surgery Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 |