Individual
DR. DIDIER CROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HAWTHORNE PLACE, SUITE 105, BOSTON, MA 02114
(617) 720-0030
(617) 720-0055
Mailing address
1 HAWTHORNE PLACE, SUITE 105, BOSTON, MA 02114
(617) 720-0030
(617) 720-0055
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
58685
MA
2084N0400X
Neurology Physician
Primary
P58685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069257
—
MA
01
—
724855
TUFTS HEALTH PLAN
MA
01
—
J10191
BCBS MA
MA
01
—
M19362
BLUE CROSS
—
Enumeration date
07/25/2006
Last updated
12/10/2014
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