Individual
JOHN HOBART KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3440 N BROAD ST, PHILADELPHIA, PA 19140-5104
(215) 707-3663
(215) 707-7523
Mailing address
PO BOX 827783, PHILADELPHIA, PA 19182-7783
(215) 707-3665
(215) 707-7523
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301079006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102278786000
—
PA
Enumeration date
05/31/2006
Last updated
01/19/2010
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