Provider Demographics
NPI:1467423061
Name:CROWE, TRISTAN KAREN (DO)
Entity Type:Individual
Prefix:DR
First Name:TRISTAN
Middle Name:KAREN
Last Name:CROWE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWTOWN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5206
Mailing Address - Country:US
Mailing Address - Phone:215-674-3337
Mailing Address - Fax:215-674-4247
Practice Address - Street 1:205 NEWTOWN RD STE 104
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974
Practice Address - Country:US
Practice Address - Phone:215-674-3337
Practice Address - Fax:215-674-4247
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015820208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation