Individual
MARTIN J KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST # 2-273A, BOSTON, MA 02114-2696
(617) 726-8323
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101274444
VA
2085R0202X
Diagnostic Radiology Physician
281781
MA
Other
Enumeration date
03/25/2014
Last updated
06/27/2022
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