Healthcare Provider Details

I. General information

NPI: 1487733549
Provider Name (Legal Business Name): FRANCIS M CROKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL DR STE 303
HOLYOKE MA
01040
US

IV. Provider business mailing address

10 HOSPITAL DR STE 303
HOLYOKE MA
01040
US

V. Phone/Fax

Practice location:
  • Phone: 413-539-6830
  • Fax: 413-538-6003
Mailing address:
  • Phone: 413-539-6830
  • Fax: 413-538-6003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60465
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: