Basic Information
Provider Information
NPI: 1225505167
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRON
FirstName: AMANDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 3308 WILLIAMSTOWN RD
Address2:  
City: FRANKLINVILLE
State: NJ
PostalCode: 083222810
CountryCode: US
TelephoneNumber: 6097746144
FaxNumber:  
Practice Location
Address1: 201 FLORAL VALE BLVD
Address2:  
City: YARDLEY
State: PA
PostalCode: 190675524
CountryCode: US
TelephoneNumber: 2158600100
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/29/2018
LastUpdateDate: 10/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246ZE0600X  Y Technologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic

No ID Information.


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