Individual
BRUCE H KRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 MAIN ST, LAWRENCEVILLE, NJ 08648-1600
(609) 896-0391
Mailing address
PO BOX 6011, LAWRENCEVILLE, NJ 08648-0011
(609) 896-0391
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME68627
FL
208000000X
Pediatrics Physician
Primary
ME68627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1753755-007
CIGNA PROVIDER ID
FL
01
—
219764
AVMED PROVIDER ID
FL
01
—
27289
BCBS PROVIDER ID
FL
05
—
378073200
—
FL
01
—
5467014
AETNA PROVIDER ID
FL
01
—
593324260
TAX ID
FL
Enumeration date
07/28/2005
Last updated
03/07/2023
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