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Individual

ROBERT E KRACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8239

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48995
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015131
NEIGHBORHOOD HEALTH
MA
05
0190535
MA
01
794896
TUFTS
MA
01
J01099
BLUE CROSS
MA
01
PP177
HARVARD PILGRIM
MA
Enumeration date
01/10/2006
Last updated
05/06/2013
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