Healthcare Provider Details

I. General information

NPI: 1982920427
Provider Name (Legal Business Name): STEPHEN G KRAUNZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 FAIRFIELD DR
DOVER NH
03820-4308
US

IV. Provider business mailing address

4 FAIRFIELD DR
DOVER NH
03820-4308
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-4402
  • Fax:
Mailing address:
  • Phone: 603-749-4402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17516
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD452468
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: