Doctor Name: | DR. BRUCE TREADWELL CROFT |
NPI Number: | 1316914971 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 1563 |
Business Practice Address: | 795 Main St Holden, MA - 015203800 |
Business Phone Number: | 5088296645 |
Business Fax Number: | 5088295633 |
Mailing Address: | 795 Main St, HOLDEN |
State: | MA |
Postal Code: | 015203800 |
Phone Number: | 5088296645 |
Fax Number: | 5088295633 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 1563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |