Individual
DR. HUDA AL-KOUATLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT STREET, 1ST FLOOR, PHILADELPHIA, PA 19107
(215) 955-5000
(215) 923-1089
Mailing address
3319 LOTHIAN RD, FAIRFAX, VA 22031-4841
(703) 560-3129
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
25MA10417100
NJ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD462658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675695
—
NJ
Enumeration date
11/29/2006
Last updated
02/06/2020
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