Individual
JESSICA J KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
185 S ORANGE AVE # MSBE-609, NEWARK, NJ 07103-2757
(973) 972-9438
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
67582
AZ
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
25MA12395000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
MT215573
PA
390200000X
Student in an Organized Health Care Education/Training Program
R79208
AZ
Other
Enumeration date
06/15/2018
Last updated
03/27/2025
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