Provider Demographics
NPI:1497917942
Name:CERRATO, WILLIAM H (DO)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:CERRATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 HEALTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-4470
Mailing Address - Country:US
Mailing Address - Phone:410-328-6018
Mailing Address - Fax:
Practice Address - Street 1:100 E CARROLL ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5493
Practice Address - Country:US
Practice Address - Phone:800-749-5191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH721942084P0804X
OK83362084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD259147-000OtherMAGELLAN- ESPS GROUP
MD609550002Medicaid
MDR968OtherCAREFIRST - ESPS GROUP
MD346646OtherMHN/TRICARE - ESPS GROUP
MD7840093OtherAETNA - ESPS GROUP
MDH72194OtherMEDICAL LICENSE
MD609550002Medicaid