Basic Information
Provider Information
NPI: 1376929810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRAJEWSKI
FirstName: ADAM
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 412826
Address2:  
City: BOSTON
State: MA
PostalCode: 022412526
CountryCode: US
TelephoneNumber: 6108928889
FaxNumber: 4844468005
Practice Location
Address1: 100 MADISON AVE
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 079606136
CountryCode: US
TelephoneNumber: 9739715370
FaxNumber: 9732907294
Other Information
ProviderEnumerationDate: 08/06/2015
LastUpdateDate: 11/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0204X25MA11560400NJN Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0202X25MA11560400NJY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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