Provider Demographics
NPI:1427920131
Name:CRUMP, COLZIE CARMEN
Entity type:Individual
Prefix:
First Name:COLZIE
Middle Name:CARMEN
Last Name:CRUMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1110
Mailing Address - Country:US
Mailing Address - Phone:857-400-6444
Mailing Address - Fax:
Practice Address - Street 1:275 MARTINE ST STE 203
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1518
Practice Address - Country:US
Practice Address - Phone:617-659-7572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist