Healthcare Provider Details

I. General information

NPI: 1629120472
Provider Name (Legal Business Name): JOEL M KRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 11/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

IV. Provider business mailing address

100 E PENN SQ 9TH FLOOR NORTH TOWER
PHILADELPHIA PA
19107-3323
US

V. Phone/Fax

Practice location:
  • Phone: 609-853-7000
  • Fax: 609-497-4139
Mailing address:
  • Phone: 267-425-9200
  • Fax: 267-425-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD436092
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: