Individual
MEGAN DIANE CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 BAY AVE STE 203, GLEN RIDGE, NJ 07028-1607
(973) 746-2200
Mailing address
30 GRAFTON DR, MORRIS PLAINS, NJ 07950-3023
(973) 998-1231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00648200
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00648200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/30/2020
Last updated
12/03/2021
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