Edward Todd Krupp, D.O. Valid NPI

Individual provider · Internal Medicine Physician · Montclair, NJ

NPI

1760583868

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

25MB071292 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-25

Last updated

2018-07-23