Healthcare Provider Details

I. General information

NPI: 1356539407
Provider Name (Legal Business Name): IRENE M. HURFORD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRENE BRATTI M.D.

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 MARKET ST 3RD FLOOR
PHILADELPHIA PA
19104-3309
US

IV. Provider business mailing address

3535 MARKET ST 3RD FLOOR
PHILADELPHIA PA
19104-3309
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-2826
  • Fax:
Mailing address:
  • Phone: 215-662-2826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD435949
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: