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General NPI Number Information
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NPI Number | 1760450621
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Entity Type | Individual
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Provider Name | ERIC K CRAWFORD MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 6030 DAYBREAK CIR A150-208
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone | 443-717-1867
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | BALTIMORE
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6423
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | M45325
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D54681
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License Number State | MD
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