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Contact Information

BENJAMIN A KRUSKAL, MD
40 HOLLAND ST
SOMERVILLE, MA02144-2705
 Phone: 617-629-6000
 Fax: 617-629-6070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BENJAMIN A KRUSKAL · (Male)

NPI # 1245218353
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2006
Last updated 11/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 71820
  • MA Medicaid 3065421
  • MA Other J09980 BLUE CROSS
  • MA Other B10462303 CIGNA
  • MA Other PP825 HARVARD PILGRIM
  • MA Other 0003938 NEIGHBORHOOD HEALTH
  • MA Other 071820 TUFTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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