Basic Information
Provider Information
NPI: 1912992371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CROWE
FirstName: JOSEPH
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7404 EXECUTIVE PL STE 350
Address2:  
City: LANHAM
State: MD
PostalCode: 207066268
CountryCode: US
TelephoneNumber: 3015999500
FaxNumber: 2405422959
Practice Location
Address1: 8116 GOOD LUCK RD STE 200
Address2:  
City: LANHAM
State: MD
PostalCode: 207063508
CountryCode: US
TelephoneNumber: 3015999500
FaxNumber: 3015527483
Other Information
ProviderEnumerationDate: 09/13/2005
LastUpdateDate: 08/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XD0022407MDY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home