John J Croke in Boston - Dermatology

John J Croke - NPI 1013994649

John J Croke is a Dermatology in Boston, Massachusetts. John J Croke practices all healthcare services and medical treatments related to Dermatology. The NPI Number for John J Croke is 1013994649. The last update date is 2014-05-20.

John J Croke's current location address is 725 Albany St, Boston, Massachusetts. You can contact this provider via phone number 6176387420 and fax number 6176387289. The mailing address for John J Croke is 725 Albany St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Croke
Address 725 Albany St, Boston, Massachusetts
Phone Number 6176387420
Fax Number 6176387289
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013994649
Provider Enumeration Date 2005-12-23
Last Updated Date 2014-05-20

Provider Mailing Address Detail

Address 725 Albany St
City Boston
State Massachusetts (MA)
Post Code 21182526
Phone Number 6176387420
Fax Number 6176387289

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 59427
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110056889A MA --

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FAQs about John J Croke

What is the unique identifier code issued to John J Croke by the Centers for Medicare & Medicaid Services?

The John J Croke has been assigned the NPI (National Provider Identifier) 1013994649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John J Croke?

The John J Croke is situated at 725 Albany St, in the city of Boston, state of MA, with the zip code 21182526.

What is the area of specialization for John J Croke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John J Croke is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.

On what date was the 1013994649 assigned to John J Croke?

The John J Croke was issued its 1013994649 on 2005-12-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John J Croke most recently updated or revised?

The information pertaining to John J Croke, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-20.

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