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Organization

CROWN FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAMARTAJ SAIFULLAH QUADRI MD (PRESIDENT)
(219) 662-7583
Entity
Organization

Contact information

Practice address
200 S WEST ST, CROWN POINT, IN 46307-3908
(219) 662-7583
(219) 662-7378
Mailing address
200 SOUTH WEST STREET, CROWN POINT, IN 46307-4848
(219) 662-7583
(219) 662-7378

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050515A
IN

Other

Enumeration date
01/04/2007
Last updated
01/19/2017
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