Kruskal, Benjamin A
Kruskal, Benjamin A is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kruskal, Benjamin A can be contacted via phone (617) 629-6000.Contact Information
Primary practice address
40 Holland St
Somerville MA 02144-2705
Phone: (617) 629-6000
Fax: (617) 629-6070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 71820 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 71820 | Massachusetts |
Profile Details
| NPI number | 1245218353 |
|---|---|
| LBN Legal business name | Kruskal, Benjamin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Nov 19th, 2013 - about 12 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 | 1245218353 | NPPES |
| Massachusetts | Other | B10462303 | CIGNA |
| Massachusetts | Other | PP825 | CIGNA |
| Massachusetts | Other | 0003938 | CIGNA |
| Massachusetts | Other | 071820 | CIGNA |
| Massachusetts | Other | J09980 | CIGNA |
| Massachusetts | MEDICAID | 3065421 | CIGNA |
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