Individual
DOUGLAS RUSSELL KROHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 STELTON RD, STE A, PISCATAWAY, NJ 08854-2638
(732) 424-0440
(732) 424-0443
Mailing address
24 STELTON RD, STE A, PISCATAWAY, NJ 08854-2638
(732) 424-0440
(732) 424-0443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA48383
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1074742
—
NJ
Enumeration date
06/06/2006
Last updated
03/13/2017
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