Individual
DR. BRANDON H KRUPP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4705A OLD POST RD, CHARLESTOWN, RI 02813-1819
(401) 364-7705
(401) 364-9104
Mailing address
PO BOX 899, CHARLESTOWN, RI 02813-0899
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD08396
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7508360
—
RI
Enumeration date
05/20/2006
Last updated
07/21/2022
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