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Organization
STEPHEN J KRULJAC, D.P.M., P.C.
Active
Organization
STEPHEN J KRULJAC, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KRULJAC D.P.M. (OWNER)
(412) 461-1108
Entity
Organization
Contact information
Practice address
495 EAST WATERFRONT DRIVE, SUITE 230, HOMESTEAD, PA 15120-1151
(412) 461-1108
(412) 461-5490
Mailing address
495 EAST WATERFRONT DRIVE, SUITE 230, HOMESTEAD, PA 15120-1151
(412) 461-1108
(412) 461-5490
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002458L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009128330001
—
PA
01
—
100960
MEDICARE LEGACY NUMBER
PA
01
—
100960XXT
MC GROUP PROVIDER NUMBER
PA
01
—
1225214968
MC GROUP NPI NUMBER
PA
01
—
480009776
RAILROAD MEDICARE
PA
Enumeration date
01/11/2008
Last updated
01/08/2014
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