Healthcare Provider Details

I. General information

NPI: 1487653747
Provider Name (Legal Business Name): FRANK T KUCER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 LAWN AVE
SELLERSVILLE PA
18960-1549
US

IV. Provider business mailing address

817 LAWN AVE
SELLERSVILLE PA
18960-1549
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-5071
  • Fax: 215-257-1801
Mailing address:
  • Phone: 215-257-5071
  • Fax: 215-257-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number016579E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: