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PAUL S KRUSZKA MDD LCDR NPI 1871596163


NPI Information

NPI: 1871596163
Provider Name: PAUL S KRUSZKA, MDD LCDR
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2401 HAWKINS POINT ROAD
US COAST GUARD YARD
BALTIMORE, MD
ZIP 21226
Phone: (410) 636-3181
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Paul S Kruszka, MDD LCDR is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Paul S Kruszka, MDD LCDR NPI is 1871596163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2401 HAWKINS POINT ROAD
US COAST GUARD YARD
BALTIMORE, MD
ZIP 21226-797
Phone: (410) 636-3181

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineC1-0006197DELAWARENo
2207Q00000XFamily Medicine0101222971VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H32590MEDICARE UPINDELAWARE
2007531W40MEDICARE ID-TYPE UNSPECIFIEDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.