Crescent Internal Medicine Group, Llc

LBN: Crescent Internal Medicine Group, Llc
Crescent Internal Medicine Group, Llc is an health care organization with primary practice located at 29 The Crescent , Montclair NJ 07042-2636. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Crescent Internal Medicine Group, Llc can be contacted via phone (973) 783-0800, or through Krupp, Edward Todd via phone (973) 783-0800.

Contact Information

Primary practice address
29 The Crescent Montclair NJ 07042-2636
Phone: (973) 783-0800
Fax: (973) 744-1274
Website:
Map and Directions
Authorized official contact:
Name: Krupp, Edward Todd Doctor of Osteopathy (DO)
Phone: (973) 783-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB071292 New Jersey

Profile Details

NPI number 1790886885
LBN Legal business name Crescent Internal Medicine Group, Llc
DBA Doing business as
Authorized official Krupp, Edward Todd Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790886885 NPPES
New Jersey Other P00059104 RAILROAD MEDICARE

Popular Providers