Provider Demographics
NPI:1609127893
Name:CREVECOEUR, LOUIS JOSEPH-ROMEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOSEPH-ROMEL
Last Name:CREVECOEUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9026 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3658
Mailing Address - Country:US
Mailing Address - Phone:484-864-9061
Mailing Address - Fax:
Practice Address - Street 1:1501 MIDDLEFORD RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3615
Practice Address - Country:US
Practice Address - Phone:302-629-4569
Practice Address - Fax:302-628-4669
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0012064207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine