Benjamin A Kruskal
Pediatrician Pediatric Infectious Diseases
40 Holland St
Somerville
, Massachusetts 02144-2705
Benjamin A Kruskal
Pediatrician Pediatric Infectious Diseases
40 Holland St
Somerville
, Massachusetts 02144-2705
(617) 629-6000
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Benjamin A Kruskal
- 40 Holland St
- Somerville, MA
- Zip : 02144-2705
- Phone : (617) 629-6000
Second Address
- Benjamin A Kruskal
- 40 Holland St
- Somerville, MA
- Zip : 02144-2705
- Fax : (617) 629-6070
- Phone : (617) 629-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 71820 | MA |
| N | 2080P0208X | Pediatric Infectious Diseases | 71820 | MA |
National Provider Identifier
| NPI | 1245218353 |
|---|---|
| Provider Name | Benjamin A Kruskal |
| First Address | Somerville, MA 02144-2705 |
| Second Address | Somerville, MA 02144-2705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2006 |
| Last Update Date | 19/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0003938 | NEIGHBORHOOD HEALTH (01) | MA |
| 071820 | TUFTS (01) | MA |
| 3065421 | (05) | MA |
| B10462303 | CIGNA (01) | MA |
| E55744 | (02) | MA |
| J09980 | BLUE CROSS (01) | MA |
| PP825 | HARVARD PILGRIM (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.