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NPI Code Detail

MEDICARE: ROBERT E KRACHMAN M.D.

MEDICARE: ROBERT E KRACHMAN 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
1208000000XPediatrics Physician48995MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PP177OTHERMAHARVARD PILGRIM
30015131OTHERMANEIGHBORHOOD HEALTH
4J01099OTHERMABLUE CROSS
5794896OTHERMATUFTS

General Provider Information

NPI Number : 1285613224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E KRACHMAN M.D.
Provider Business Mailing Address
First Line : 147 MILK ST
Second Line : PROVIDER ENROLLMENT - 9TH FLOOR
City : BOSTON
State : MA
Zip : 02109-4806
Country : US
Telephone Number : 617-559-8239
Fax Number :
Provider Business Practice Location Address
First Line : 2 ESSEX CENTER DR
Second Line :
City : PEABODY
State : MA
Zip : 01960-2902
Country : US
Telephone Number : 978-977-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 06/07/2026

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Directions to “ ROBERT E KRACHMAN M.D.” Practice Location

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