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Provider Information for 1497912141

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DR. MELISSA K CROCKER MD

Gender: FEMALE

Individual NPI: 1497912141

Calendar   Last Updated:  2012-02-09
  Certification Date: 

Details

Name Value
NPI 1497912141
Enumeration Date 2008-05-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 333 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON, DIVISION OF ENDOCRINOLOGY
BOSTON, MA 02115-5711
United States

Phone: 617-355-0793 | Fax:
View Map External Link
Primary Practice Address 333 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON, DIVISION OF ENDOCRINOLOGY
BOSTON, MA 02115-5711
United States

Phone: 617-355-0793 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0205X - Pediatrics Pediatric Endocrinology MA 246756