Individual
JACQUES KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 W CHESTER PIKE, SUITE 200, HAVERTOWN, PA 19083-2742
(610) 449-1525
(610) 853-3687
Mailing address
PO BOX 350, SELLERSVILLE, PA 18960-0350
(215) 723-2333
(215) 723-9112
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD035174L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007311400003
—
PA
01
—
P00181700
RAILROAD MEDICARE
PA
Enumeration date
02/28/2006
Last updated
11/02/2007
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