Provider Demographics
NPI:1922063155
Name:KRAJESKI, R. DREW (MD)
Entity Type:Individual
Prefix:DR
First Name:R.
Middle Name:DREW
Last Name:KRAJESKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1205 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1219
Mailing Address - Country:US
Mailing Address - Phone:215-750-0220
Mailing Address - Fax:215-750-9381
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 405
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1219
Practice Address - Country:US
Practice Address - Phone:215-750-0220
Practice Address - Fax:215-750-9381
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD025833E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE55164Medicare UPIN