Individual
BENJAMIN A KRUSKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
(617) 629-6070
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71820
MA
2080P0208X
Pediatric Infectious Diseases Physician
71820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003938
NEIGHBORHOOD HEALTH
MA
01
—
071820
TUFTS
MA
05
—
3065421
—
MA
01
—
B10462303
CIGNA
MA
01
—
J09980
BLUE CROSS
MA
01
—
PP825
HARVARD PILGRIM
MA
Enumeration date
01/09/2006
Last updated
11/19/2013
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