Provider Demographics
NPI:1124318332
Name:CRAWFORD, JAMES LEE (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEE
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:401 KINGS HWY S STE 5
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2500
Practice Address - Country:US
Practice Address - Phone:856-428-8992
Practice Address - Fax:856-428-9614
Is Sole Proprietor?:No
Enumeration Date:2011-04-10
Last Update Date:2024-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD454192208600000X
NJ25MA10126500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery