Healthcare Provider Details

I. General information

NPI: 1720078322
Provider Name (Legal Business Name): FRANCIS A KRALICK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 SHORE RD
SOMERS POINT NJ
08244-2449
US

IV. Provider business mailing address

100 MEDICAL CENTER WAY
SOMERS POINT NJ
08244-2300
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-3605
  • Fax: 609-926-4311
Mailing address:
  • Phone: 609-653-3265
  • Fax: 609-926-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberOS009981L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MB07544500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: