Provider Demographics
NPI:1215754213
Name:CRUSBERG, ERICA (PA (ASCP))
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CRUSBERG
Suffix:
Gender:F
Credentials:PA (ASCP)
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:HOGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 HUNT WOOD DR
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1939
Mailing Address - Country:US
Mailing Address - Phone:757-778-0156
Mailing Address - Fax:
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-338-3221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2534207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology