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Individual

JULIE M CROSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1353 DORCHESTER AVE, DORCHESTER HOUSE, DORCHESTER, MA 02122-2932
(617) 288-3230
Mailing address
1353 DORCHESTER AVE, DORCHESTER HOUSE, DORCHESTER, MA 02122-2932

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154075
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3184561
MA
Enumeration date
04/25/2006
Last updated
08/22/2014
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