Provider Demographics
NPI:1790880490
Name:CRAUSMAN, ROBERT S (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:CRAUSMAN
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 1:528 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-2366
Mailing Address - Country:US
Mailing Address - Phone:508-675-1522
Mailing Address - Fax:508-676-5647
Practice Address - Street 1:528 NEWTON ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2366
Practice Address - Country:US
Practice Address - Phone:508-675-1522
Practice Address - Fax:508-676-5647
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73891207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26755OtherBCBS RI
P00084798OtherRR MEDICARE
MA404372OtherTUFTS
MAJ26640OtherBCBS MA
MA2019540Medicaid
G17786Medicare UPIN
MAA35900Medicare ID - Type Unspecified