NPI 1902087190 · live from the CMS NPI Registry
Richard Andrews Crandall, M.D.
Family Medicine in Berlin, VT. National Provider Identifier 1902087190, active.
NPI record
| NPI | 1902087190 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1093 Brookfield Rd, Berlin, VT 05602 |
| Practice phone | 717-368-6346 |
| Enumerated | November 16, 2007 |
| Last updated | September 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 0420012390 (VT) |
| Family Medicine | 207Q00000X | G88844 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.