Individual provider · NPI-1
Dr. Jeanne A Craft, M.D.
Pediatrics, Pediatric Critical Care Medicine · Livingston, NJ
NPI number1124093612
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1124093612
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeanne A Craft
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2006
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 25MA06250800 | NJ | Yes |
| 2083C0008X | Preventive Medicine, Clinical Informatics Specialist | 25MA06250800 | NJ | |
| 208000000X | Pediatrics | 25MA06250800 | NJ |
Practice location
94 Old Short Hills RdPediatric Intensive Care Unit
Livingston, NJ 07039-5672
Phone 973-322-2322 · Fax 973-322-5504
Mailing address
17 Melbourne WayBasking Ridge, NJ 07920-2507
Phone 908-221-1310
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