Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 217447 | MA |
NPI | 1003854365 |
---|---|
Provider Name | Mary W Crowell |
First Address | Hyannis, MA 02601-1866 |
Second Address | Hyannis, MA 02601-2324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 22/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2023580 | (05) | MA |
AA8103 | HP HC (01) | MA |
H31948 | (02) | |
J26912 | BCBS (01) | MA |