Provider Demographics
NPI:1417940925
Name:KRYGER, HARVEY ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:ABRAHAM
Last Name:KRYGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABRAHAM
Other - Middle Name:H
Other - Last Name:KRYGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1084 CASS ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4509
Mailing Address - Country:US
Mailing Address - Phone:831-373-4406
Mailing Address - Fax:831-373-4481
Practice Address - Street 1:1084 CASS ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4509
Practice Address - Country:US
Practice Address - Phone:831-373-4406
Practice Address - Fax:831-373-4481
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA43173Medicare UPIN