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Individual
MR. MICHAEL J CROWE III
Active
Individual
MR. MICHAEL J CROWE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361143
—
MA
01
—
042882878
FEDERAL TAX ID
—
01
—
1417187004
CIGNA
—
01
—
33052
HARVARD PILGRIM
—
01
—
4358650
AETNA
—
01
—
480004429
MEDICARE RAILROAD
—
01
—
70263
BCBS RI
—
01
—
721998
TUFTS
—
01
—
Y70786
BLUE SHIELD
—
Enumeration date
07/21/2006
Last updated
03/07/2023
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