Organization
CORY S. KRUEGER, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SCOTT KRUEGER M.D. (OWNER)
(215) 362-2355
Entity
Organization
Contact information
Practice address
1709 N BROAD ST, LANSDALE, PA 19446-1115
(215) 362-2355
(215) 362-4897
Mailing address
1602 BRAEBURN TER, LANSDALE, PA 19446-5355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030078E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012759470001
—
PA
Enumeration date
07/25/2006
Last updated
08/22/2020
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