Healthcare Provider Details

I. General information

NPI: 1285649194
Provider Name (Legal Business Name): KURZ KURZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9803 SUSQUEHANNA TRAIL SOUTH
SEVEN VALLEYS PA
17360
US

IV. Provider business mailing address

9803 SUSQUEHANNA TRAIL SOUTH
SEVEN VALLEYS PA
17360
US

V. Phone/Fax

Practice location:
  • Phone: 717-428-3931
  • Fax: 717-428-3932
Mailing address:
  • Phone: 717-428-3931
  • Fax: 717-428-3932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD027283E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD027063E
License Number StatePA

VIII. Authorized Official

Name: RICHARD BRUCE KURZ
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 717-428-3931