Healthcare Provider Details

I. General information

NPI: 1528256526
Provider Name (Legal Business Name): DAVID ROBERT CROWE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8183 GOLDEN LINK BLVD
MACEDONIA OH
44067-2015
US

IV. Provider business mailing address

111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH NH
03801-2864
US

V. Phone/Fax

Practice location:
  • Phone: 330-306-9844
  • Fax: 330-525-9009
Mailing address:
  • Phone: 330-947-6021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35.097664
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: