Individual
ALLISON ELIZABETH CREPEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
399 FARMINGTON AVE STE 300, FARMINGTON, CT 06032-1979
(860) 837-9220
(860) 837-9221
Mailing address
PO BOX 741593, ATLANTA, GA 30374-1593
(757) 668-8544
(757) 668-6544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101251650
VA
207X00000X
Orthopaedic Surgery Physician
Primary
63691
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10095256
OPTIMA
VA
01
—
1215108063
MEDICARE
VA
05
—
1215108063
—
NC
05
—
1215108063
—
VA
01
—
1512108063
MULTIPLAN
VA
01
—
311610834
MAMSI
VA
01
—
9328958
CIGNA
VA
Enumeration date
03/20/2008
Last updated
04/02/2025
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