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Individual

JOSEPH PUTNAM CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1986 35TH AVE, VERO BEACH, FL 32960-2533
(772) 562-7220
(772) 562-5476
Mailing address
1986 35TH AVE, VERO BEACH, FL 32960-2533
(772) 562-7220
(772) 562-5476

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME46397
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31183
BLUE CROSS
FL
05
44160100
FL
Enumeration date
10/04/2005
Last updated
09/05/2012
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