Organization Name: | DENRICK L CRESPI D O P C |
NPI Number: | 1932351699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENRICK CRESPI (OWNER) |
Mailing Address: | 167 S River Rd Bedford |
State: | NH US |
Postal Code: | 031106931 |
Phone Number: | 6036695774 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |