Individual
JEROME C CREPEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BREWSTER ST, PROVINCETOWN, MA 02657-1631
(508) 487-2382
Mailing address
22 BREWSTER ST, PROVINCETOWN, MA 02657-1631
(508) 487-2382
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
55114
MA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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