Individual
MS. JESSICA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
436 CHINA RD, SAYVILLE, NY 11782-1413
(631) 655-3964
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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