Individual
EDWIN J KRACJI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 743-5933
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011078
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022087
BLUE SHIELD
—
01
—
C66213
HARVARD
—
01
—
M50851
CIGNA
—
Enumeration date
10/03/2005
Last updated
07/08/2007
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