1669423802 NPI number — DR. FRANCIS THOMAS CRAWLEY JR. EDD

Table of content: DR. FRANCIS THOMAS CRAWLEY JR. EDD (NPI 1669423802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669423802 NPI number — DR. FRANCIS THOMAS CRAWLEY JR. EDD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CRAWLEY
Provider First Name:
FRANCIS
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
EDD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CRAWLEY
Provider Other First Name:
F
Provider Other Middle Name:
THOMAS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
EDD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1669423802
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1101 RICHMOND AVE
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
POINT PLEASANT BEACH
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08742
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-449-7833
Provider Business Mailing Address Fax Number:
732-295-2280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 RICHMOND AVE
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
POINT PLEASANT BEACH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-449-7833
Provider Business Practice Location Address Fax Number:
732-295-2280
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  37PC00341600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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