Individual
VIRGINIA CROKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 ORNAC, JOHN CUMMING BLDG #200, CONCORD, MA 01742
(978) 287-3436
Mailing address
10 WILLARD ST, QUINCY, MA 02169-1281
(617) 479-1437
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
175037
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15769
BCBS
MA
Enumeration date
03/15/2006
Last updated
03/31/2010
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