| Doctor Name: | MS. MARY C KRUG |
| NPI Number: | 1538172994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-C |
| License Number: | 26NN05770800 |
| Business Practice Address: | 3350 Highway 138 Bldg 2 Wall Township, NJ - 077199693 |
| Business Phone Number: | 7322801200 |
| Business Fax Number: | |
| Mailing Address: | 9 Indian Path, MILLSTONE TOWNSHIP |
| State: | NJ |
| Postal Code: | 085358079 |
| Phone Number: | 7324463441 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 05/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN05770800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |