Organization
DIDIER CROS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIDIER P CROS MD (PROPRIETOR)
(617) 720-0030
Entity
Organization
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
174400000X
Specialist
P-58685
MA
2084N0400X
Neurology Physician
Primary
P58685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069257
—
MA
01
—
M19362
BCBS
—
Enumeration date
03/14/2007
Last updated
02/27/2015
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