Individual
LAUREL A. KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE CAPITAL WAY, PENNINGTON, NJ 08534-5227
(609) 303-4000
Mailing address
3131 PRINCETON PIKE, BRULDERF 5, SUITE 218, LAWRENCEVILLE, NJ 08648
(609) 815-7829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD040155E
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA05302500
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD040155E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001955942
—
PA
05
—
2057808
—
NJ
Enumeration date
07/25/2006
Last updated
10/27/2016
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