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Individual

ADAM CROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
205 SOUTH FRONT STREET, 4TH FLOOR BMA, HARRISBURG, PA 17104-1619
(717) 761-0200
(717) 761-0641
Mailing address
205 SOUTH FRONT STREET, 4TH FLOOR BMA, HARRISBURG, PA 17104
(717) 761-0200
(717) 761-0641

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA063623
PA
363AS0400X
Surgical Physician Assistant
Primary
MA063623
PA

Other

Enumeration date
04/26/2022
Last updated
12/20/2022
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