Glen H Crawford, MD | |
822 Pine St, Suite 2a, Philadelphia, PA 19107-6187 | |
(267) 519-0154 | |
(267) 519-0597 |
Full Name | Glen H Crawford |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 28 Years |
Location | 822 Pine St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598780165 | NPI | - | NPPES |
1008871430001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD421221 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pennsylvania Centre For Dermatology, Llc | 4183603335 | 35 |
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | Pennsylvania Centre For Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861501801 PECOS PAC ID: 4183603335 Enrollment ID: O20040720000493 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Glen H Crawford, MD 822 Pine St, Suite 2a, Philadelphia, PA 19107-6187 Ph: (267) 519-0154 | Glen H Crawford, MD 822 Pine St, Suite 2a, Philadelphia, PA 19107-6187 Ph: (267) 519-0154 |
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