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General NPI Number Information
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NPI Number | 1104903277
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Entity Type | Individual
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Provider Name | MARYE L MCCROSKEY MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 3224 N ROOSEVELT BLVD
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City | KEY WEST
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State | FL
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Zip | 33040-4114
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Country | US
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Telephone | 305-292-5877
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Fax | 305-296-3934
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Provider Business Mailing Address
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Address Line | PO BOX 11396
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City | BELFAST
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State | ME
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Zip | 04915-4004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18570
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME124163
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License Number State | FL
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