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NPI Code Detail

MEDICARE: DR. ROBERT R KRASZEWSKI PHD

MEDICARE: DR. ROBERT R KRASZEWSKI PHD
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
1103TC0700XClinical PsychologistPSY14044CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111816089OTHERCAATHEM BLUE CROSS

General Provider Information

NPI Number : 1750447850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT R KRASZEWSKI PHD
Provider Business Mailing Address
First Line : 1619 E CHAPMAN AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92831-4015
Country : US
Telephone Number : 714-992-4240
Fax Number :
Provider Business Practice Location Address
First Line : 1619 E CHAPMAN AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92831-4015
Country : US
Telephone Number : 714-992-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2006
Last Update Date : 11/04/2008

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