# CROWN OBSTETRICS & GYNECOLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811920531
- **Authorized official:** PATRICIA M BERRICK (ADMINISTRATOR)
- **Authorized official phone:** (617) 479-6636

## Contact information

- **Practice address:** 300 CONGRESS ST STE 102, QUINCY, MA 02169-0907
- **Practice address phone:** (617) 479-6636
- **Practice address fax:** (617) 472-9868
- **Mailing address:** 300 CONGRESS STREET, SUITE 102, QUINCY, MA 02169
- **Mailing address phone:** (617) 479-6636
- **Mailing address fax:** (617) 472-9868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 04/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9781455 | — | MA |