Organization
REGINALD O CROSLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD O CROSLEY MD (DIRECTOR)
(410) 732-4200
Entity
Organization
Contact information
Practice address
1235 E MONUMENT ST, BALTIMORE, MD 21202-5327
(410) 732-4200
(410) 732-7645
Mailing address
1235 EAST MONUMENT STREET SUITE 104, 1119 B EAST MONUMENT STREET, BALTIMORE, MD 21202
(410) 732-4200
(410) 732-7645
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
D0016109
MD
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
D0016109
MD
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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