Provider Demographics
NPI:1740294255
Name:KROUNER, ANDREW D (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:D
Last Name:KROUNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7000 STONEWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7376
Mailing Address - Country:US
Mailing Address - Phone:724-940-4001
Mailing Address - Fax:724-940-4036
Practice Address - Street 1:7000 STONEWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7376
Practice Address - Country:US
Practice Address - Phone:724-940-4001
Practice Address - Fax:724-940-4036
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMDO44167L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26587OtherRI BLUE SHIELD
RI050493136OtherUNITED
RI7058838Medicaid
RI4207708OtherAETNA
RI32247OtherNEIGHBORHOOD RI
RI6591068OtherCIGNA
SC413873OtherBLUE CHIP
RIAA73915OtherHARVARD
SC413873OtherBLUE CHIP
RI32247OtherNEIGHBORHOOD RI