Individual
DR. KEVIN EDMOND CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(551) 996-8100
(551) 996-4140
Mailing address
12513 BRACKEN HILL LN, POTOMAC, MD 20854-1116
(410) 601-9515
(410) 601-8905
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101044892
VA
2084N0400X
Neurology Physician
25MA08248800
NJ
2084V0102X
Vascular Neurology Physician
Primary
25MA08248800
NJ
208D00000X
General Practice Physician
0101044892
VA
Other
Enumeration date
03/22/2007
Last updated
04/24/2022
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