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Individual

ROBERT J KRUKLITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 S CEDAR CREST BLVD, SUITE 205, ALLENTOWN, PA 18103-6224
(610) 402-9116
(610) 402-9610
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD073492L
PA
207RP1001X
Pulmonary Disease Physician
MD073492L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009065800001
PA
Enumeration date
02/03/2006
Last updated
01/07/2019
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