Individual
DR. ERIC KRAKAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, FOUNDERS 6 PALLIATIVE CARE SERVICE, BOSTON, MA 02114-2696
(617) 724-9197
(617) 724-8693
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-9197
(617) 724-8693
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
80854
MA
207R00000X
Internal Medicine Physician
80854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080854
TUFTS HEALTH PLAN
MA
05
—
3170314
—
MA
01
—
J17996
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
07/09/2014
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