Provider Demographics
NPI:1770566564
Name:KRON, STANLEY M (MD)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:M
Last Name:KRON
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:579A CRANBURY RD
Mailing Address - Street 2:UNIVERSITY RADIOLOGY GROUP PC
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5426
Mailing Address - Country:US
Mailing Address - Phone:732-390-0040
Mailing Address - Fax:732-390-1856
Practice Address - Street 1:483 CRANBURY RD
Practice Address - Street 2:UNIVERSITY RADIOLOGY GROUP PC
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3610
Practice Address - Country:US
Practice Address - Phone:732-390-0030
Practice Address - Fax:732-390-5383
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2011-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA025557002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1557009Medicaid
NY00808411Medicaid
NJ400647Medicare ID - Type Unspecified
NJ1557009Medicaid