Provider Demographics
NPI:1548467541
Name:CROPP, CRAIG STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:STEPHEN
Last Name:CROPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 GUE RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1022
Mailing Address - Country:US
Mailing Address - Phone:301-253-1547
Mailing Address - Fax:301-253-1152
Practice Address - Street 1:9101 GUE RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-1022
Practice Address - Country:US
Practice Address - Phone:301-253-1547
Practice Address - Fax:301-253-1152
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058190207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Not Answered207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B69984Medicare UPIN