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NPI Code Detail

MEDICARE: DR. JOHN RICHARD KRIMM D.O.

MEDICARE:  DR. JOHN RICHARD KRIMM  D.O.
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
1208D00000XGeneral Practice PhysicianOS004253LPA

General Provider Information

NPI Number : 1922374586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN RICHARD KRIMM D.O.
Provider Business Mailing Address
First Line : 3312 W. QUEEN LANE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1410
Country : US
Telephone Number : 215-843-1840
Fax Number :
Provider Business Practice Location Address
First Line : 3312 W. QUEEN LANE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1410
Country : US
Telephone Number : 215-843-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 03/28/2012

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Directions to “ DR. JOHN RICHARD KRIMM D.O.” Practice Location

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