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DIDIER CROS MD PC NPI 1477686749


NPI Information

NPI: 1477686749
Provider Name: DIDIER CROS MD PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1 HAWTHORNE PLACE
SUITE 105
BOSTON, MA
ZIP 02114
Phone: (617) 720-0030
Get Directions

DIDIER CROS MD PC is a neurology psychiatry neurology in Boston, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DIDIER CROS MD PC NPI is 1477686749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 HAWTHORNE PLACE
SUITE 105
BOSTON, MA
ZIP 02114
Phone: (617) 720-0030
Fax: (617) 720-0055

The provider's authorized official is Didier P Cros .
The authorized official title is Proprietor and has the following contact phone number (617) 720-0030.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistP-58685MASSACHUSETTSNo
22084N0400XPsychiatry & NeurologyNeurologyP58685MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J10191MEDICARE PIN
2M19362OTHERBCBS
33069257MEDICAIDMASSACHUSETTS
4J10191MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
5B61207MEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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