Ellen Conroy Crouch in South Boston - Pediatrics
Ellen Conroy Crouch - NPI 1942423132
Ellen Conroy Crouch is a Pediatrics in South Boston, Massachusetts. Ellen Conroy Crouch practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ellen Conroy Crouch is 1942423132. The last update date is 2007-07-08.
Ellen Conroy Crouch's current location address is 11 Winfield St, South Boston, Massachusetts. You can contact this provider via phone number 6172686084. The mailing address for Ellen Conroy Crouch is 11 Winfield St, South Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Conroy Crouch |
|---|---|
| Address | 11 Winfield St, South Boston, Massachusetts |
| Phone Number | 6172686084 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1942423132 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 Winfield St |
|---|---|
| City | South Boston |
| State | Massachusetts (MA) |
| Post Code | 21274125 |
| Phone Number | 6172686084 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 232708 |
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Definition: A registered nurse who cares for infant, child, and adolescent patients. |
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What is the Ellen Conroy Crouch's unique identification number?
The Ellen Conroy Crouch has been assigned the NPI (National Provider Identifier) Number 1942423132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ellen Conroy Crouch?
The Ellen Conroy Crouch is physically situated at 11 Winfield St, in the city of South Boston, state of MA, with the postal code 21274125.
What is Ellen Conroy Crouch's area of expertise and its corresponding taxonomy classification?
The Ellen Conroy Crouch's field of specialization is Pediatrics, and it falls under the taxonomy code 163Wp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942423132 to Ellen Conroy Crouch?
The Centers for Medicare & Medicaid Services originally issued the 1942423132 to Ellen Conroy Crouch on 2007-04-10.
As of what date were the Ellen Conroy Crouch's details last updated?
The information pertaining to the Ellen Conroy Crouch, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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