DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1245218353

NPI Code Detail

MEDICARE: BENJAMIN A KRUSKAL M.D.

MEDICARE: BENJAMIN A KRUSKAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	71820	MA
2	2080P0208X	Pediatric Infectious Diseases Physician	71820	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B10462303	OTHER	MA	CIGNA
2	PP825	OTHER	MA	HARVARD PILGRIM
3	0003938	OTHER	MA	NEIGHBORHOOD HEALTH
4	071820	OTHER	MA	TUFTS
5	J09980	OTHER	MA	BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245218353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN A KRUSKAL M.D.

Provider Business Mailing Address
First Line	:	40 HOLLAND ST
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02144-2705
Country	:	US
Telephone Number	:	617-629-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 HOLLAND ST
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02144-2705
Country	:	US
Telephone Number	:	617-629-6000
Fax Number	:	617-629-6070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	11/19/2013

Similar Medicare Providers

1548268360 — DR. KAREN ELLINE NEWBOLD M.D.
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6300
Practice Fax: 617-629-6090

1528058799 — DR. SUSAN PERLMUTTER PAUKER MD
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6250
Practice Fax: 617-629-6108

1174504526 — DR. MARCIA F DWORKIND MD
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6300
Practice Fax: 617-629-6090

1427039882 — DR. RAJEE K JOYCE MD
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6300
Practice Fax:

1275518235 — CAROLE E ALLEN M.D.
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6000
Practice Fax: 617-629-6070

1821078825 — JULIE M PUNCOCHAR M.D.
Practice Location Address:

40 HOLLAND ST
SOMERVILLE, MA
02144-2705

Practice Phone: 617-629-6000
Practice Fax: 617-629-6070

Directions to “ BENJAMIN A KRUSKAL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.