Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 214556 | MA |
NPI | 1033187455 |
---|---|
Provider Name | Ian Elliott Krop |
First Address | New Haven, CT 06520-8028 |
Second Address | New Haven, CT 06519-1110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 14/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0172910 | MASSHEALTH (01) | |
14797 | HPHC (01) | |
214556 | TUFTS (01) | |
2900088 | AETNA US HEALTHCARE (01) | |
3000522 | UNITED HEALTH CARE (01) | |
5256233 | CIGNA (01) | |
65548 | FALLON COMMUNITY HLTH PLN (01) | |
A34074 | MEDICARE (01) | |
J24828 | MASSACHUSETTS BCBS (01) | |
P00080815 | RR MEDICARE BINNEY MED (01) |