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NPI Code Detail

MEDICARE: DR. ROSE CROWLEY CHRISTIAN MD

MEDICARE: DR. ROSE CROWLEY CHRISTIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianVT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891773073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSE CROWLEY CHRISTIAN MD
Provider Business Mailing Address
First Line : PO BOX 1063
Second Line : FLETCHER ALLEN HEALTH CARE
City : BURLINGTON
State : VT
Zip : 05402-1063
Country : US
Telephone Number : 802-847-4576
Fax Number : 802-847-2226
Provider Business Practice Location Address
First Line : 1 S PROSPECT ST
Second Line : DEPT OF ENDOCRINOLOGY
City : BURLINGTON
State : VT
Zip : 05401-3456
Country : US
Telephone Number : 802-847-4576
Fax Number : 802-847-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/08/2007

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