Individual
MARK T KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01655-0002
(888) 244-6094
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
245837
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086722A
—
MA
Enumeration date
10/04/2006
Last updated
10/28/2020
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