Individual
DR. BRIAN COLUM CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Mailing address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD070366-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001906590001
—
PA
01
—
02334MD70366L
HEALTH PARTNERS
PA
01
—
1418837
HIGHMARK BLUE SHIELD
PA
01
—
2105104000
KEYSYONE
PA
01
—
231952978
TAX ID
PA
01
—
30001543
KEYSTONE MERCY
PA
01
—
3507769
CIGNA
PA
01
—
390008468
RR MEDICARE
PA
01
—
7114525
AETNA
PA
Enumeration date
07/14/2006
Last updated
05/20/2010
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