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NPI Code Detail

MEDICARE: DR. SAMUEL M KRAINSKY MD

MEDICARE:  DR. SAMUEL M KRAINSKY  MD
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
1207R00000XInternal Medicine PhysicianMD027849EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790730067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL M KRAINSKY MD
Provider Business Mailing Address
First Line : 2128 CONWELL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-2310
Country : US
Telephone Number : 215-677-9980
Fax Number : 215-288-5646
Provider Business Practice Location Address
First Line : 2128 CONWELL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-2310
Country : US
Telephone Number : 215-677-9980
Fax Number : 215-288-5646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 12/23/2011

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Directions to “ DR. SAMUEL M KRAINSKY MD” Practice Location

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