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Contact Information

CRYSTAL CORCORAN
475 SPRING LN
PHILADELPHIA, PA19128-3918
 Phone: 215-482-5353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for CRYSTAL CORCORAN · (Female)

NPI Number 1649625112
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2016
Last updated 05/03/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 408831
  • PA License # 618192
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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