Provider Demographics
NPI:1578851473
Name:KRUGER, GERALYN ASHLEY (L AC, MAOM)
Entity Type:Individual
Prefix:
First Name:GERALYN
Middle Name:ASHLEY
Last Name:KRUGER
Suffix:
Gender:F
Credentials:L AC, MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHERRY ST
Mailing Address - Street 2:#3
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-3204
Mailing Address - Country:US
Mailing Address - Phone:781-264-4952
Mailing Address - Fax:
Practice Address - Street 1:8 CHERRY ST
Practice Address - Street 2:#3
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-3204
Practice Address - Country:US
Practice Address - Phone:781-264-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist