Provider Demographics
NPI:1750381182
Name:CRAWFORD, NANCY W (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:W
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 W SPROUL ROAD
Mailing Address - Street 2:HEALTHPLEX PAVILION II - SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-690-4900
Mailing Address - Fax:610-690-4910
Practice Address - Street 1:100 W SPROUL ROAD
Practice Address - Street 2:HEALTHPLEX PAVILION II - SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2033
Practice Address - Country:US
Practice Address - Phone:610-690-4900
Practice Address - Fax:610-690-1659
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2016-08-31
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Provider Licenses
StateLicense IDTaxonomies
PAMD040239E207W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011140600004Medicaid
PA0011140600004Medicaid
PA0011140600004Medicaid