Organization
CROFTON CLINIC PSC
Active
Organization
CROFTON CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ MAJMUDAR MD (OWNER)
(270) 220-0240
Entity
Organization
Contact information
Practice address
241 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 220-0420
Mailing address
241 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 220-0240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
03/01/2018
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