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Individual

ERIQ KRUGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., M.S.

Contact information

Practice address
4700 CITY AVE, PHILADELPHIA, PA 19131-1500
(215) 871-6730
Mailing address
4700 CITY AVE, PHILADELPHIA, PA 19131-1500
(215) 871-6730

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
30181277
PA
208600000X
Surgery Physician
Primary
OT025034
PA

Other

Enumeration date
11/22/2021
Last updated
06/22/2026
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