Individual
DR. MARK LAWRENCE KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 CHASE PARKWAY, SUITE 6, WATERBURY, CT 06708-3939
(203) 756-4577
(203) 756-3628
Mailing address
714 CHASE PARKWAY, SUITE 6, WATERBURY, CT 06708-3939
(203) 755-4577
(203) 756-3628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18376
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001183763
—
CT
01
—
010018376CT01
BCBS
—
Enumeration date
09/01/2006
Last updated
10/27/2021
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