Individual
THEODORE JOHN KRAWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SPRINGFIELD RD, SUITE 4, WESTFIELD, MA 01085
(413) 568-1742
(413) 568-3647
Mailing address
75 SPRINGFIELD RD, SUITE 4, WESTFIELD, MA 01085
(413) 568-1742
(413) 568-3647
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209353
—
MA
01
—
371150
CONNECTICARE
—
01
—
718850
TUFTS
—
Enumeration date
08/18/2006
Last updated
07/25/2012
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