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Individual

JAMES G KRANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
32 CHERRY ST, MILFORD, CT 06460-3413
(203) 874-6755
Mailing address
32 CHERRY ST, MILFORD, CT 06460-3413
(203) 874-6755

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000405
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000405
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004069969
CT
01
0706090003
MEDICARE DMERC
CT
01
480009818
RSILROAD MEDICARE PIN
CT
01
480012075
RAILROAD MEDICARE PIN
CT
01
480016502
RAILROAD MEDICARE PIN
CT
Enumeration date
07/11/2006
Last updated
01/19/2012
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