Individual
JOEL KRACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, POB II SUITE 224, UPLAND, PA 19013
(610) 876-2400
(610) 876-4308
Mailing address
207 N BROAD ST, 3RD FLR CARDIOLOGY CONSULTANTS OF PHILA PC, PHILA, PA 19107
(215) 462-7100
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD011949E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006844240006
—
PA
Enumeration date
08/26/2005
Last updated
04/01/2008
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