Provider Demographics
NPI:1649211707
Name:CRANE, JANET ELIZABETH (MD)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELIZABETH
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3712
Mailing Address - Country:US
Mailing Address - Phone:610-583-3232
Mailing Address - Fax:610-583-7902
Practice Address - Street 1:222 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3712
Practice Address - Country:US
Practice Address - Phone:610-583-3232
Practice Address - Fax:610-583-7902
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021368E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000701730Medicaid
PAB95868Medicare UPIN
PA004964Medicare PIN