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ETHAN KRUG MD
NPI 1164263190
Student in an Organized Health Care Education/Training Program in Burlington, MA

Active since June 04, 2024
41 MALL RD, BURLINGTON, MA 01805(781) 744-5100 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Krug Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN KRUG MD (NPI 1164263190) is an individual student in an organized health care education/training program in Burlington, Massachusetts, licensed in Massachusetts (3017222) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1164263190
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN KRUGCredential: MD
Location Address41 MALL RDBurlington, MA 01805-0001
Mailing Address10 Roberts St Apt 15Somerville, MA 02145-2552 · (347) 852-5831
Phone(781) 744-5100
Sole ProprietorNo
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1164263190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3017222
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
41 MALL RD, Burlington, MA 01805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAHOOR KHAN
Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
FNU KALEEMULLAH MD
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ARLENE DEBORAH STOLLER ACNS
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (617) 460-2222
THAIS BITENCOURT ROBERTS AGNP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JULIE ALHADY
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-7592
DR. MEHDI KHANI MD
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
FATIMA RODA
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
RAISA CUCCIO NP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Krug's NPI number?

The NPI number for Ethan Krug is 1164263190. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Ethan Krug located?

Ethan Krug practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-5100.

What is Ethan Krug's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Krug was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.