Jorge Crespo (NPI# 1881633568, PAC ID# 1355230970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1881633568 |
PAC ID by PECOS | 1355230970 |
Professional Enrollment ID | I20040312000172 |
Full Name | Jorge Crespo |
Address |
745a Route 63 Chesterfield NH 03443-3604 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 1986 |
Primary Specialty | DERMATOLOGY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
745a Route 63, Chesterfield, NH 03443-3604 |
Street Address |
745A ROUTE 63 |
City | CHESTERFIELD |
State | NH |
Zip | 03443-3604 |
Name | Specialty | Organization | Address |
---|---|---|---|
Isabelle D Waddell | Nurse Practitioner | On Site Dermatology LLC | 745a Route 63, Chesterfield, NH 03443-3604 |
Amy-lyn Gumprecht | Physician Assistant | Integrated Dermatology of Chesterfield LLC | 745a Route 63, Chesterfield, NH 03443-3604 |
City | CHESTERFIELD |
Zip Code | 03443 |
Specialty | DERMATOLOGY |
City + Specialty | CHESTERFIELD + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.