| Kurt R. Crowley, M.d., P.c. | |
|
266 Lancaster Ave Suite 301 Malvern PA 19355-3256 | |
| (610) 578-0155 | |
| (610) 578-0156 |
| Full Name | Kurt R. Crowley, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 Lancaster Ave, Malvern, Pennsylvania |
| Authorized Official Name and Position | Kurt R Crowley (PHYSICIAN) |
| Authorized Official Contact | 6105780155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt R. Crowley, M.d., P.c. 266 Lancaster Ave Suite 301 Malvern PA 19355-3256 Ph: (610) 578-0155 | Kurt R. Crowley, M.d., P.c. 266 Lancaster Ave Suite 301 Malvern PA 19355-3256 Ph: (610) 578-0155 |
| NPI Number | 1023209236 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/14/2007 |
| Medicare PECOS PAC ID | 6608064910 |
|---|---|
| Medicare Enrollment ID | O20101230000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023209236 | NPI | - | NPPES |
| 0470905000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 680928 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD058769L (Pennsylvania) | Primary |
| Provider Name | Kurt Richard Crowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922016930 PECOS PAC ID: 7416145727 Enrollment ID: I20101230000082 |
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