Healthcare Provider Details

I. General information

NPI: 1750381182
Provider Name (Legal Business Name): NANCY W. CRAWFORD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W SPROUL ROAD HEALTHPLEX PAVILION II - SUITE 100
SPRINGFIELD PA
19064-2033
US

IV. Provider business mailing address

100 W SPROUL ROAD HEALTHPLEX PAVILION II - SUITE 100
SPRINGFIELD PA
19064-2033
US

V. Phone/Fax

Practice location:
  • Phone: 610-690-4900
  • Fax: 610-690-1659
Mailing address:
  • Phone: 610-690-4900
  • Fax: 610-690-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD040239E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: