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Individual

GEDDY JAY KRUL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10301 HAGEN RANCH RD STE 760, BOYNTON BEACH, FL 33437-3777
(561) 733-4400
(561) 733-5004
Mailing address
381 CHESTNUT ST, UNION, NJ 07083-9430
(908) 688-8007
(908) 688-3884

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA05108200
NJ
208000000X
Pediatrics Physician
Primary
ME174747
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8586802
NJ
Enumeration date
07/18/2005
Last updated
10/17/2025
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