Individual
HANNAH CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
54131
CA
363A00000X
Physician Assistant
PA54131
CA
363A00000X
Physician Assistant
Primary
PA6569
MA
363AM0700X
Medical Physician Assistant
MDC0005732
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54131
MEDICAL LICENSE
—
Enumeration date
06/10/2015
Last updated
09/12/2018
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