Provider Demographics
NPI:1851406144
Name:WARREN M. KRAUS, MD, PC
Entity Type:Organization
Organization Name:WARREN M. KRAUS, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-269-2684
Mailing Address - Street 1:PO BOX 707
Mailing Address - Street 2:
Mailing Address - City:S PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-0707
Mailing Address - Country:US
Mailing Address - Phone:732-269-2684
Mailing Address - Fax:732-269-3963
Practice Address - Street 1:34-36 PROGRESS ST STE B1
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1197
Practice Address - Country:US
Practice Address - Phone:732-269-2684
Practice Address - Fax:732-269-3963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA63223207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty