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NPI Code Detail

MEDICARE: MARY KURIEN MD

MEDICARE: MARY KURIEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD417894PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942298930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KURIEN MD
Provider Business Mailing Address
First Line : 614 N EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-4301
Country : US
Telephone Number : 215-884-9770
Fax Number : 215-884-6301
Provider Business Practice Location Address
First Line : 614 N EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-4301
Country : US
Telephone Number : 215-884-9770
Fax Number : 215-884-6301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 12/31/2012

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Directions to “ MARY KURIEN MD” Practice Location

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