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NPI Code Detail

MEDICARE: DR. MARK KRASNY M.D.

MEDICARE:  DR. MARK  KRASNY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician060-0003574VT

General Provider Information

NPI Number : 1992944060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK KRASNY M.D.
Provider Business Mailing Address
First Line : 93 HALLOWELL
Second Line :
City : MONTREAL
State : QUEBEC
Zip : H3Z 2E8
Country : CA
Telephone Number : 514-938-4414
Fax Number :
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-656-5605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2009
Last Update Date : 02/13/2009

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