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Individual
JOY ELLEN KRUCZAY
Active
Individual
JOY ELLEN KRUCZAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002867L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010147440001
—
PA
01
—
480022007
RAILROAD MEDICARE
PA
Enumeration date
03/16/2006
Last updated
07/06/2010
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