Provider Demographics
NPI:1063488427
Name:KRAUSER, RONALD ERIC (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ERIC
Last Name:KRAUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 INDUSTRIAL BLVD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1620
Mailing Address - Country:US
Mailing Address - Phone:610-647-2398
Mailing Address - Fax:610-993-2867
Practice Address - Street 1:11 INDUSTRIAL BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1620
Practice Address - Country:US
Practice Address - Phone:610-647-2398
Practice Address - Fax:610-993-2867
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012059E207RR0500X
PA012059E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0593910Medicaid
C29357Medicare UPIN
PA0593910Medicaid
PA084870Medicare ID - Type Unspecified