Kradin, Richard Lawrence

Kradin, Richard Lawrence is an individual health care provider with primary practice located at 55 Fruit St Cox 2, Boston MA 02114-2696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kradin, Richard Lawrence can be contacted via phone (617) 726-1721.

Contact Information

Primary practice address
55 Fruit St Cox 2 Boston MA 02114-2696
Phone: (617) 726-1721
Fax: (617) 726-2365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44014 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 44014 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 44014 Massachusetts

Profile Details

NPI number 1053301325
LBN Legal business name Kradin, Richard Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053301325 NPPES
Massachusetts Other C05276 BCBS MA
Massachusetts Other 044014 BCBS MA
Massachusetts MEDICAID 0116432 BCBS MA

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