Individual
DR. MOHAMED A KOURTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD049485L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001819996
—
PA
Enumeration date
10/19/2005
Last updated
11/17/2010
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