Individual
DAVID ROSS CROASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
80 HIGHLAND ST DEPT OF, LACONIA, NH 03246-3235
(603) 524-3211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23361
NH
390200000X
Student in an Organized Health Care Education/Training Program
63702
NY
Other
Enumeration date
04/08/2016
Last updated
12/08/2022
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