Crescent Internal Medicine Group, LLC
NPI #1790886885 in Montclair, New Jersey
Provider Information
- NPI Number
- 1790886885
- Entity Type
- Organization
- Organization Name
- Crescent Internal Medicine Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 29 THE CRESCENT
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2636
- Phone
- (973) 783-0800
Authorized Official
- Name
- DR. EDWARD TODD KRUPP, D.O.
- Title
- OWNER/PHYSICIAN
- Phone
- (973) 783-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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