Individual
ELLEN KRUCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 FORBES AVE, PITTSBURGH, PA 15213-3410
(412) 647-2345
Mailing address
5400 STANTON AVE APT 4, PITTSBURGH, PA 15206-2062
(724) 581-7197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066403
PA
Other
Enumeration date
02/07/2025
Last updated
07/15/2025
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