Individual
KRISTEN KUCHARCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 MONTGOMERY AVE, SUITE 18, PENN VALLEY, PA 19072-2036
(610) 642-9200
(610) 649-4723
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD071340L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018743340001
—
PA
Enumeration date
08/27/2007
Last updated
08/02/2012
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