Provider Demographics
NPI:1467554956
Name:KRAWET, STEVEN HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HOWARD
Last Name:KRAWET
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 1:557 CRANBURY RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5419
Mailing Address - Country:US
Mailing Address - Phone:732-390-5534
Mailing Address - Fax:732-390-6141
Practice Address - Street 1:557 CRANBURY RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5419
Practice Address - Country:US
Practice Address - Phone:732-390-5534
Practice Address - Fax:732-390-6141
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06077200207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6511503Medicaid
NJF98582Medicare ID - Type Unspecified
NJ6511503Medicaid