Provider Demographics
NPI:1023449667
Name:CRAWFORD, NIGEL
Entity type:Individual
Prefix:
First Name:NIGEL
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 COLDSTREAM CT
Mailing Address - Street 2:N/A
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2061
Mailing Address - Country:US
Mailing Address - Phone:908-233-0701
Mailing Address - Fax:
Practice Address - Street 1:319 COLDSTREAM CT
Practice Address - Street 2:N/A
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2061
Practice Address - Country:US
Practice Address - Phone:908-233-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0177500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health