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Organization
CROWN OBSTETRICS & GYNECOLOGY P.C.
Active
Organization
CROWN OBSTETRICS & GYNECOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M BERRICK (ADMINISTRATOR)
(617) 479-6636
Entity
Organization
Contact information
Practice address
300 CONGRESS ST STE 102, QUINCY, MA 02169-0907
(617) 479-6636
(617) 472-9868
Mailing address
300 CONGRESS STREET, SUITE 102, QUINCY, MA 02169
(617) 479-6636
(617) 472-9868
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9781455
—
MA
Enumeration date
07/08/2006
Last updated
04/04/2023
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