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Individual

DR. BRIAN T KUCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3122
(215) 587-9405
Mailing address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3122
(215) 587-9405

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
C1-0009659
DE
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD429667
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0310999
NJ
05
102764213-0001
PA
05
1689793648
DE
Enumeration date
03/28/2007
Last updated
01/31/2013
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