Individual
JACOB G CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
Mailing address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
257046
MA
Other
Enumeration date
05/27/2010
Last updated
10/24/2016
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