Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101241352 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 0101241352 | VA |
Y | 2086S0105X | Surgery of the Hand | 0101241352 | VA |
NPI | 1376571372 |
---|---|
Provider Name | Alexander S Croog |
First Address | Baltimore, MD 21275-5868 |
Second Address | Mc Lean, VA 22102-3888 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 02/03/2017 |