Provider Demographics
NPI:1992793236
Name:CROMO, SANDRA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:ANN
Last Name:CROMO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER, SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-8384
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:2400 CORPORATE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7645
Practice Address - Country:US
Practice Address - Phone:724-933-3400
Practice Address - Fax:724-933-3455
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041857L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001202314Medicaid
PAMD041857LOtherMEDICAL LIC NUMBER
PA606569OtherHIGHMARK
PA606569OtherHIGHMARK
PA606569OtherHIGHMARK
PAMD041857LOtherMEDICAL LIC NUMBER