Individual
MR. MICHAEL J CROWE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
211 ALDEN ROAD, SUITE A, FAIRHAVEN, MA 02719-4419
(508) 997-4646
(508) 991-5385
Mailing address
211 ALDEN ROAD, SUITE A, FAIRHAVEN, MA 02719-4419
(508) 997-4646
(508) 991-5385
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361143
—
MA
01
—
042882878
FEDERAL TAX ID
—
01
—
1417187004
CIGNA
—
01
—
33052
HARVARD PILGRIM
—
01
—
4358650
AETNA
—
01
—
480004429
MEDICARE RAILROAD
—
01
—
70263
BCBS RI
—
01
—
721998
TUFTS
—
01
—
Y70786
BLUE SHIELD
—
Enumeration date
07/21/2006
Last updated
03/07/2023
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