Individual
ROGER F CRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 E 16TH ST, SUITE C, BERWICK, PA 18603-2320
(570) 759-3561
(570) 759-0314
Mailing address
695 E 16TH ST, SUITE C, BERWICK, PA 18603-2320
(570) 759-3561
(570) 759-0314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022637-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009046710002
—
PA
Enumeration date
07/12/2005
Last updated
12/10/2009
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