Individual
DR. CRYSTAL ANTOINETTEE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1576 MERRITT BLVD STE 16, DUNDALK, MD 21222-2136
(410) 650-2191
Mailing address
12520 PROXMIRE DR, FORT WASHINGTON, MD 20744-5231
(410) 650-2191
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0101342
MD
Other
Enumeration date
04/19/2020
Last updated
08/27/2024
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