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General NPI Number Information
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NPI Number | 1457598112
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER B. KRUSE, M.D., LLC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 225 STATE ROUTE 35 STE 208
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City | RED BANK
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State | NJ
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Zip | 07701-5919
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Country | US
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Telephone | 732-747-5500
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Fax | 732-747-1212
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Provider Business Mailing Address
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Address Line | 225 STATE ROUTE 35 STE 208
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City | RED BANK
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State | NJ
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Zip | 07701-5919
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Country | US
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Telephone | 732-747-5500
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Fax | 732-747-1212
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER BRYANT KRUSE
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Credential |
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Telephone | 973-641-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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