Provider Demographics
NPI:1104899897
Name:KRAFT, DAVID P (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:KRAFT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1510
Mailing Address - Country:US
Mailing Address - Phone:413-549-6408
Mailing Address - Fax:413-582-0256
Practice Address - Street 1:50 PLEASANT ST
Practice Address - Street 2:SERVICENET CLINIC
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3909
Practice Address - Country:US
Practice Address - Phone:413-584-6855
Practice Address - Fax:413-582-0256
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-11
Last Update Date:2011-02-25
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Provider Licenses
StateLicense IDTaxonomies
MA366852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB74027Medicare UPIN
MAGO103801Medicare PIN