Krul, Geddy Jay
Krul, Geddy Jay is an individual health care provider with primary practice located at 381 Chestnut St , Union NJ 07083-9430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krul, Geddy Jay can be contacted via phone (908) 688-8007.Contact Information
Primary practice address
381 Chestnut St
Union NJ 07083-9430
Phone: (908) 688-8007
Fax: (908) 688-3884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA05108200 | New Jersey |
Profile Details
| NPI number | 1215936604 |
|---|---|
| LBN Legal business name | Krul, Geddy Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215936604 | NPPES |
| New Jersey | MEDICAID | 8586802 |
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