Individual
DR. JORDAN J. CROVATIN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4100
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(610) 834-2828
(610) 823-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101051721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6098011
—
VA
Enumeration date
06/17/2006
Last updated
07/08/2007
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