Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 33243 | MA |
NPI | 1174558274 |
---|---|
Provider Name | Martin Crane |
First Address | Hingham, MA 02043-3458 |
Second Address | Weymouth, MA 02190-1843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |