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CROWN OBSTETRICS AND GYNECOLOGY NPI 1487924239


NPI Information

NPI: 1487924239
Provider Name: CROWN OBSTETRICS AND GYNECOLOGY
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 22D0890084

Address:
300 CONGRESS ST
SUITE 102
QUINCY, MA
ZIP 02169
Phone: (617) 479-6636
Get Directions

CROWN OBSTETRICS AND GYNECOLOGY is an obstetrics gynecology in Quincy, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CROWN OBSTETRICS AND GYNECOLOGY NPI is 1487924239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 CONGRESS ST
SUITE 102
QUINCY, MA
ZIP 02169-907
Phone: (617) 479-6636
Fax: (617) 376-0435

The provider's authorized official is Patricia Berrick .
The authorized official title is Office Administrator and has the following contact phone number (617) 479-6636.

The CLIA number assigned to this NPI record is 22D0890084 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.


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
1207V00000XObstetrics & GynecologyYes

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
19781455MEDICAIDMASSACHUSETTS
2M20169MEDICARE 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: 11/14/2023

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