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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053301325 | NPPES |
| Massachusetts | Other | C05276 | BCBS MA |
| Massachusetts | Other | 044014 | BCBS MA |
| Massachusetts | MEDICAID | 0116432 | BCBS MA |
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