Individual
MARY KURIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
614 N EASTON RD, GLENSIDE, PA 19038-4301
(215) 884-9770
(215) 884-6301
Mailing address
614 N EASTON RD, GLENSIDE, PA 19038-4301
(215) 884-9770
(215) 884-6301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD417894
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019081560001
—
PA
Enumeration date
10/12/2005
Last updated
12/31/2012
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