Individual
JAY BARRY KRASNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BOSTON POST RD, SUITE 107, SUDBURY, MA 01776
(978) 443-8010
(978) 443-4634
Mailing address
111 BOSTON POST RD, SUITE 107, SUDBURY, MA 01776
(978) 443-8010
(978) 443-4634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316950751
NPI
MA
01
—
J09871
MEDICARE ID
MA
Enumeration date
08/15/2006
Last updated
01/11/2011
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