Provider Demographics
NPI:1801984927
Name:KRULEE, DAVID ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARNOLD
Last Name:KRULEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:39 HARWICH LANE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2756
Mailing Address - Country:US
Mailing Address - Phone:860-573-3833
Mailing Address - Fax:815-717-7564
Practice Address - Street 1:1062 BARNES ROAD
Practice Address - Street 2:#207
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4206
Practice Address - Country:US
Practice Address - Phone:203-265-4600
Practice Address - Fax:815-717-7564
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0276372084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP398812OtherOXFORD HEALTH PLANS
CT010027637CT06OtherANTHEM BLUE CROSS
CT079954OtherMANAGED HEALTH NETWORK
CT260002484Medicare ID - Type Unspecified