Individual
DR. MATTHEW ADAM KRASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
6100 CITY AVE, APT. 503, PHILADELPHIA, PA 19131-1239
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD431147
PA
Other
Enumeration date
05/04/2007
Last updated
05/20/2008
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