Roderick H Crocker JR.
Urologist
300 Mount Auburn St Ste 519
Cambridge
, Massachusetts 02138-5600
(617) 576-1076
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About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Urologist
Languages spoken
- English
Location
First Address
- Roderick H Crocker JR.
- 300 Mount Auburn Street, Suite #519
- Cambridge, MA
- Zip : 02138-5600
- Fax : (617) 576-1076
- Phone : (617) 547-4400
Second Address
- Roderick H Crocker JR.
- 300 Mount Auburn St Ste 519
- Cambridge, MA
- Zip : 02138-5600
- Fax : (617) 576-1076
- Phone : (617) 547-4400
Reviews
FAQs
Where did Roderick H Crocker JR. attend graduate school?
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Where did Roderick H Crocker JR. do his residency?
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Where did Roderick H Crocker JR. do his fellowship?
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Is Roderick H Crocker JR. board certified?
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What type of doctor is Roderick H Crocker JR.
Urologist
In what state does Roderick H Crocker JR. practice in?
Massachusetts
Where is Roderick H Crocker JR.’s practice located?
300 Mount Auburn St Ste 519 , Cambridge, Massachusetts, 02138-5600
What is Roderick H Crocker JR.’s gender?
Male
Is Roderick H Crocker JR. a sole practitioner?
No
Is Roderick H Crocker JR. accepting new patients?
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What languages does Roderick H Crocker JR. speak?
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Does Roderick H Crocker JR. accept insurance?
Yes, Roderick H Crocker JR. accepts insurance
Does Roderick H Crocker JR. offers telemedicine?
Roderick H Crocker JR. has not indicated if he offers telemedicine
What is Roderick H Crocker JR.’s professional license number?
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What is Roderick H Crocker JR.’s NPI number?
1053310367
Does Roderick H Crocker JR. have any license restrictions?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208800000X | Urologist | 55453 | MA |
National Provider Identifier
| NPI | 1053310367 |
|---|---|
| Provider Name | Roderick H Crocker JR. |
| First Address | Cambridge, MA 02138-5600 |
| Second Address | Cambridge, MA 02138-5600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 13/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3009700 | (05) | MA |
| B98147 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.