Provider Demographics
NPI:1316048861
Name:CROGNALE, JANICE E (MD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:CROGNALE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:205 WILLOW ST
Mailing Address - Street 2:LAHEY HEALTH PRIMARY CARE, HAMILTON-WENHAM
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2255
Mailing Address - Country:US
Mailing Address - Phone:978-468-7346
Mailing Address - Fax:978-468-6628
Practice Address - Street 1:205 WILLOW ST
Practice Address - Street 2:LAHEY HEALTH PRIMARY CARE, HAMILTON-WENHAM
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2255
Practice Address - Country:US
Practice Address - Phone:978-468-7346
Practice Address - Fax:978-468-6628
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-08-17
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Provider Licenses
StateLicense IDTaxonomies
MA152326207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110060085AMedicaid
MAA2846801Medicare PIN
MAG71991Medicare UPIN