Individual
THOMAS E KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5500
(617) 661-5444
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44329
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015114
NEIGHBORHOOD HEALTH
MA
01
—
044329
TUFTS
MA
05
—
3034011
—
MA
01
—
B11646
BLUE CROSS
MA
01
—
PP110
HARVARD PILGRIM
MA
Enumeration date
01/10/2006
Last updated
05/06/2013
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