Provider Demographics
NPI:1306815014
Name:KRZYSPIAK, BARBARA P (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:P
Last Name:KRZYSPIAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1340 DEKALB ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3434
Mailing Address - Country:US
Mailing Address - Phone:610-272-4550
Mailing Address - Fax:610-279-4533
Practice Address - Street 1:1340 DEKALB ST
Practice Address - Street 2:SUITE 4
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3434
Practice Address - Country:US
Practice Address - Phone:610-272-4550
Practice Address - Fax:610-279-4533
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD065079L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA114072OtherPA BLUE SHIELD GROUP ID#