Individual
GARY W CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 662-4000
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD028425E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009570760001
—
PA
Enumeration date
07/04/2006
Last updated
03/22/2012
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