Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 225601 | MA |
N | 208600000X | Surgeon | 225601 | MA |
Y | 2086S0120X | Pediatric Surgery | D79891 | MD |
N | 2086S0120X | Pediatric Surgery | MD445781 | PA |
NPI | 1225250210 |
---|---|
Provider Name | Dr. Helena Marie Crowley |
First Address | Philadelphia, PA 19106-3513 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 15/06/2015 |