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Contact Information

PHYLLIS G KRUG
465 OGDEN AVE
TEANECK, NJ07666-2820
 Phone: 201-837-8617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiopulmonary

2251C2600X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHYLLIS G KRUG · (Female)

NPI Number 1720154024
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2006
Last updated 09/20/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 40QA00216700
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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