Susan M Kuruvilla, M.D.
Family Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1790820249
StatusActive
Last updated in NPPESDec 7, 2011
Details
- NPI
- 1790820249
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan M Kuruvilla
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Dec 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD046860L | PA | Yes |
Practice location
7500 Central AvenueSuite 100, Physicians Office Building
Philadelphia, PA 19111
Phone 215-728-2020 · Fax 215-728-2044
Mailing address
7500 Central AvenueSuite 100, Physician'S Office Building
Philadelphia, PA 19111
Phone 215-728-2020 · Fax 215-728-2044
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