Provider Demographics
NPI:1124097241
Name:KADRMAS, EDDIE F (MD)
Entity type:Individual
Prefix:
First Name:EDDIE
Middle Name:F
Last Name:KADRMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4884
Mailing Address - Country:US
Mailing Address - Phone:508-746-8600
Mailing Address - Fax:508-747-1002
Practice Address - Street 1:40 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4884
Practice Address - Country:US
Practice Address - Phone:508-746-8600
Practice Address - Fax:508-747-1002
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA80903207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3137121Medicaid
MADX8691Medicare PIN
MAF44755Medicare UPIN