John J Croke MD

NPI 1013994649 - Dermatology - 207N00000X

NPI Details
NPI 1013994649
Gender Male
Enumeration Date 12/23/2005
Last Updated 05/20/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
725 ALBANY ST
SHAPIRO 8
BOSTON MA, 02118-2526, US
Phone (617) 638-7420
Fax (617) 638-7289
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Massachusetts
License Number 59427
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According to our database, Dr. John J Croke MD NPI is 1013994649, taxonomy code is 207N00000X and license number is 59427, license state is located at Massachusetts. John J Croke MD physically located at 725 Albany St, Boston MA, 02118-2526. NPI Number John J Croke MD has the Individual type.

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1013994649 NPI number is provided on an as is basis without warranty of any kind. 1013994649 is maintained by the National Plan & Provider Enumeration System. The contents of John J Croke MD are for informational purposes only.