Individual
DR. GERARD KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 W MAIN ST, SHARON, CT 06069-2012
(860) 364-0531
(860) 496-4951
Mailing address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 489-1799
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
24325
CT
207RX0202X
Medical Oncology Physician
Primary
024325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243252
—
CT
01
—
06-1088532
TAX ID #
—
01
—
11353
CT CONTROLLED SUBSTANCE
CT
01
—
24325
CT. LICENSE
CT
Enumeration date
07/19/2006
Last updated
03/07/2023
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