Individual
JOY CROVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3903 HAVERHILL DR, INDIANAPOLIS, IN 46240-3651
(317) 578-1215
Mailing address
3903 HAVERHILL DR, INDIANAPOLIS, IN 46240-3651
(317) 578-1215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320777
ANTHEM
IN
05
—
200038740
—
IN
01
—
P01157326
MEDICARE RR
IN
Enumeration date
07/28/2006
Last updated
07/28/2021
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