Individual
C CRAWFORD MECHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-6698
Mailing address
3400 SPRUCE STREET, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD052859L
PA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD052859L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015249800001
—
PA
Enumeration date
06/07/2006
Last updated
10/24/2019
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