Organization
ROBERT D CROUCH, MD, PA
Active
Organization
ROBERT D CROUCH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID CROUCH M.D. (OWNER)
(301) 663-4774
Entity
Organization
Contact information
Practice address
900 TOLL HOUSE AVE, FREDERICK, MD 21701-4547
(301) 663-4774
(301) 695-1364
Mailing address
900 TOLL HOUSE AVE, FREDERICK, MD 21701-4547
(301) 663-4774
(301) 695-1364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D00976
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP29RO
BCBS
MD
Enumeration date
11/01/2005
Last updated
01/16/2008
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