Individual
KENNETH A. KRUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 BROADWAY, 37 BROADWAY, ARLINGTON, MA 02474-5552
(781) 641-0100
(781) 744-7132
Mailing address
37 BROADWAY, LAHEY ARLINGTON, ARLINGTON, MA 02474-5552
(781) 641-0100
(781) 744-7132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110044053A
—
MA
Enumeration date
09/28/2006
Last updated
12/05/2012
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