Individual
DR. MARY KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BAYSTATE MEDICAL CTR, 759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(781) 407-7713
(781) 407-0998
Mailing address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039685
TUFTS HEALTH PLAN
MA
05
—
6168604
—
MA
01
—
J02400
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
02/24/2012
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