Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DI012753 | NJ |
Y | 213EG0000X | General Practice | DI012753 | NJ |
NPI | 1003812306 |
---|---|
Provider Name | Dr. Joseph Robert Krulewicz |
First Address | Branchburg, NJ 08876-6021 |
Second Address | Branchburg, NJ 08876-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 14/07/2007 |