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Individual

JEFFREY R. CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
37 EAST KING'S HIGHWAY, AUDUBON, NJ 08106
(856) 573-9500
(856) 608-0501
Mailing address
37 EAST KING'S HIGHWAY, AUDUBON, NJ 08106
(856) 573-9500
(856) 608-0501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB05175200
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MB05175200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0032123
NJ
Enumeration date
08/11/2005
Last updated
05/12/2010
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