Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD025758E | PA |
NPI | 1023098894 |
---|---|
Provider Name | Dr. Joseph D Krantzler |
First Address | Pottstown, PA 19464-3241 |
Second Address | Pottstown, PA 19464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 17/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
95982002 | AMERICHOICE (01) | PA |
B35535 | (02) | |
B35535 | (02) | PA |