| Cory S. Krueger, M.d. P.c. | |
| 1709 N Broad St Lansdale PA 19446-1115 | |
| (215) 362-2355 | |
| (215) 362-4897 | 
| Full Name | Cory S. Krueger, M.d. P.c. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1709 N Broad St, Lansdale, Pennsylvania | 
| Authorized Official Name and Position | Cory Scott Krueger (OWNER) | 
| Authorized Official Contact | 2153622355 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cory S. Krueger, M.d. P.c. 1602 Braeburn Ter Lansdale PA 19446-5355 Ph: () - | Cory S. Krueger, M.d. P.c. 1709 N Broad St Lansdale PA 19446-1115 Ph: (215) 362-2355 | 
| NPI Number | 1396767372 | 
|---|---|
| Provider Enumeration Date | 07/25/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396767372 | NPI | - | NPPES | 
| 0012759470001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD030078E (Pennsylvania) | Primary | 
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