Doctor Name: | THOMAS CRESPO |
NPI Number: | 1124436639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1118 Neptune Ct Forked River, NJ - 087315315 |
Business Phone Number: | 7329660711 |
Business Fax Number: | 6096935165 |
Mailing Address: | 1118 Neptune Ct, FORKED RIVER |
State: | NJ |
Postal Code: | 087315315 |
Phone Number: | 7329660711 |
Fax Number: | 6096935165 |
NPI Enumeration Date: | 07/28/2014 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |