Individual
CRAIG CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(856) 423-7700
(856) 423-0823
Mailing address
PO BOX 827675, PHILADELPHIA, PA 19182-7675
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN350362L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00198861
RAILROAD MEDICARE PIN
—
Enumeration date
06/26/2006
Last updated
02/18/2008
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