Provider Demographics
NPI:1417947599
Name:CROWLEY, WILLIAM F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:CROWLEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8433
Mailing Address - Fax:617-726-5357
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BHX 511
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-8433
Practice Address - Fax:617-726-5357
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA56596207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA056596OtherTUFTS HEALTH PLAN
MA2045559Medicaid
MAR01001OtherBCBS MA
MAR01001Medicare ID - Type Unspecified
MA056596OtherTUFTS HEALTH PLAN