Provider Demographics
NPI:1528392859
Name:ELIZABETH CROWLEY MD LLC
Entity Type:Organization
Organization Name:ELIZABETH CROWLEY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-465-0882
Mailing Address - Street 1:303 COURTHOUSE S DENNIS ROAD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURTHOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210
Mailing Address - Country:US
Mailing Address - Phone:609-465-0882
Mailing Address - Fax:609-465-0886
Practice Address - Street 1:303 COURTHOUSE S DENNIS ROAD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURTHOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210
Practice Address - Country:US
Practice Address - Phone:609-465-0882
Practice Address - Fax:609-465-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2012-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06786700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty