Individual
TAREK QUTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9024
Mailing address
8 TOWN LINE RD, COUDERSPORT, PA 16915-8532
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD422113
PA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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