Individual
DR. HENRY MORRIS KRONENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 730, BOSTON, MA 02114-3117
(617) 726-8720
(617) 726-7543
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34364
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065266
—
MA
01
—
724176
TUFTS HEALTH PLAN
MA
01
—
M09824
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
11/04/2011
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