Healthcare Provider Details

I. General information

NPI: 1922081777
Provider Name (Legal Business Name): JAMES CROWLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BREWSTER ST DEPARTMENT OF HEMATOLOGY/ONCOLOGY
PAWTUCKET RI
02860-4400
US

IV. Provider business mailing address

111 BREWSTER ST WOOD BLDG. #516
PAWTUCKET RI
02860-4400
US

V. Phone/Fax

Practice location:
  • Phone: 401-729-2241
  • Fax: 401-729-2916
Mailing address:
  • Phone: 401-729-3481
  • Fax: 401-729-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD04932
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: