Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD0409886 | PA |
NPI | 1407903495 |
---|---|
Provider Name | Jocelyn L Craparo |
First Address | New York, NY 10087-2581 |
Second Address | Bryn Mawr, PA 19010-1352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 30/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0286-702 | ACOG (01) | PA |
BC1861132 | DEA (01) | PA |
E65058 | (02) | PA |
MD0409886 | MEDICAL LICENSE (01) | PA |