Individual
JOHN C KUCHARCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-2050
Mailing address
3400 SPRUCE STREET, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD053853L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018860950004
—
PA
Enumeration date
07/07/2006
Last updated
02/25/2011
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