NPI 1730141466 · live from the CMS NPI Registry
Edgardo Abad Crisostomo, M.D.
Psychiatry & Neurology, Neurology in Fargo, ND. National Provider Identifier 1730141466, active.
NPI record
| NPI | 1730141466 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 5225 23rd Ave S, Fargo, ND 58104 |
| Practice phone | 701-417-4817 |
| Mailing address | 2120 London Rd Apt 452, Duluth, MN 55812 |
| Enumerated | April 6, 2006 |
| Last updated | December 3, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 31499 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.