Healthcare Provider Details

I. General information

NPI: 1649303777
Provider Name (Legal Business Name): JUSTINE M CROWLEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 AMES BLVD
MARRERO LA
70072-3403
US

IV. Provider business mailing address

1450 POYDRAS ST STE 1202
NEW ORLEANS LA
70112-1227
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-8802
  • Fax:
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number335272
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: