Individual
IRENE CROFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2400
(617) 533-2478
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2400
(617) 533-2478
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
59491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080722
—
MA
Enumeration date
03/31/2006
Last updated
04/07/2011
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