Provider Demographics
NPI:1366451734
Name:KRAJEWSKI, PATTY-ANN (MD)
Entity Type:Individual
Prefix:
First Name:PATTY-ANN
Middle Name:
Last Name:KRAJEWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 INDUSTRIAL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3736
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:1 LUMBER ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2363
Practice Address - Country:US
Practice Address - Phone:508-625-3535
Practice Address - Fax:508-625-1973
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000028141OtherBMC HEALTHNET
MA712859OtherHPHC
MAJ24780OtherMABC
MA0194506Medicaid
MA54952OtherFALLON
MA213815OtherTUFTS
409678OtherRI BLUE CHIP
0102611OtherUHC
MA3684748001OtherCIGNA
MA213815OtherTUFTS
409678OtherRI BLUE CHIP