Individual
ELLEN MARIE CRIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5125 JONESTOWN RD STE 105, HARRISBURG, PA 17112-2987
(717) 943-1566
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039886E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011579340006
—
PA
Enumeration date
04/17/2006
Last updated
03/28/2018
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