Individual
MRS. HALINA KRUTAK KROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, LLC
Contact information
Practice address
164 BRIGHTON ROAD, CLIFTON, NJ 07012
(973) 777-9950
(973) 778-2763
Mailing address
164 BRIGHTON ROAD, CLIFTON, NJ 07012
(973) 777-9950
(973) 778-2763
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA05177800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435601
—
NJ
Enumeration date
10/05/2006
Last updated
11/06/2012
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