Provider Demographics
NPI:1679674618
Name:CRANE, HAL S (MD)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:S
Last Name:CRANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 HOSPITAL DR
Mailing Address - Street 2:STE 801
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5803
Mailing Address - Country:US
Mailing Address - Phone:410-553-8170
Mailing Address - Fax:410-553-8159
Practice Address - Street 1:301 HOSPITAL DR
Practice Address - Street 2:SUITE 801
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5803
Practice Address - Country:US
Practice Address - Phone:410-553-8170
Practice Address - Fax:410-553-8159
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0074408207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1275296Medicaid
MD246717ZEZTOtherGROUP MEMBER PTAN MEDICARE
MD056470200Medicaid
MD246717ZEZTOtherGROUP MEMBER PTAN MEDICARE
MD056470200Medicaid