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Individual

CHARLES DEAN KURTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
100 E PENN SQ, WANNAMAKER BUILDING 9TH FLOOR NORTH, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.081605
OH
207LP3000X
Pediatric Anesthesiology Physician
35.081605
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD029843E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012287040008
PA
Enumeration date
05/03/2006
Last updated
01/18/2019
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