Individual
GLENN S KROOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEMORIAL SLOAN-KETTERING CANCER CENTER, 1275 YORK AVENUE, NEW YORK, NY 10065
(646) 422-4313
(212) 988-0683
Mailing address
MEMORIAL SLOAN-KETTERING CANCER CENTER, 1275 YORK AVENUE, NEW YORK, NY 10065
(646) 422-4313
(212) 988-0683
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
183916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02134247
—
NY
Enumeration date
03/19/2007
Last updated
08/21/2007
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