Organization
ALLAN S KRATZER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN S KRATZER M.D. (PRESIDENT)
(203) 694-8433
Entity
Organization
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8433
(203) 694-7630
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8433
(203) 694-7630
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
029775
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4124913
AETNA
—
01
—
500HBX153CT01
BCBS OF CT
CT
01
—
763823
CONNECTICARE
—
01
—
OV5222
HEALTH NET
—
01
—
P00061763
MVP SELECT
—
Enumeration date
11/02/2006
Last updated
11/08/2007
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