Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 012059E | PA |
N | 207RR0500X | Rheumatology | MD012059E | PA |
NPI | 1063488427 |
---|---|
Provider Name | Ronald Eric Krauser |
First Address | Paoli, PA 19301-1620 |
Second Address | Paoli, PA 19301-1620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 11/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0593910 | (05) | PA |
C29357 | (02) | |
C29357 | (02) | PA |