Individual
DAVID KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6380
(215) 871-6381
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6380
(215) 871-6381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001736605
—
PA
01
—
450298
MEDICARE PTAN
PA
Enumeration date
08/11/2005
Last updated
05/31/2016
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