Individual
GLEN D CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 LAFAYETTE RD, SUITE A, PORTSMOUTH, NH 03801-5679
(603) 431-1121
(603) 431-9147
Mailing address
1900 LAFAYETTE RD, SUITE A, PORTSMOUTH, NH 03801-5679
(603) 431-1121
(603) 431-9147
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14791
NH
207X00000X
Orthopaedic Surgery Physician
73568
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004551
—
NH
05
—
3072151
—
MA
Enumeration date
12/05/2005
Last updated
02/23/2017
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