Provider Demographics
NPI:1437688322
Name:CROISSY, MARLEE GERRI (MD)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:GERRI
Last Name:CROISSY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COASTAL RADIOLOGY ASSOCIATES
Mailing Address - Street 2:722 NEWMAN ROAD
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-633-5057
Mailing Address - Fax:
Practice Address - Street 1:COASTAL RADIOLOGY ASSOCIATES
Practice Address - Street 2:722 NEWMAN ROAD
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-633-5057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024010572085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology