Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D36887 | MD |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | H90508 | TX |
NPI | 1184664278 |
---|---|
Provider Name | Jude Crino |
First Address | Baltimore, MD 21201-6829 |
Second Address | Baltimore, MD 21201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 14/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
211331700 | (05) | MD |
C49383 | (02) | MD |