Individual
ANGEL COX CRAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4011 N MARKET ST, WILMINGTON, DE 19802-2219
(302) 762-0200
(302) 762-0500
Mailing address
PO BOX 301, JENKINTOWN, PA 19046-0301
(302) 762-0200
(302) 762-0500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E1-0000220
DE
213E00000X
Podiatrist
Primary
SC006436
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399633ZQ6G
MEDICARE
DE
01
—
448690ZRQ4
MEDICARE
PA
Enumeration date
04/09/2014
Last updated
04/22/2016
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