Provider Demographics
NPI:1437657798
Name:KURTUS DAFFORD , PPLC
Entity Type:Organization
Organization Name:KURTUS DAFFORD , PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KURTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-458-3444
Mailing Address - Street 1:37 GEORGE WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1001
Mailing Address - Country:US
Mailing Address - Phone:781-556-5372
Mailing Address - Fax:
Practice Address - Street 1:37 GEORGE WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1001
Practice Address - Country:US
Practice Address - Phone:781-556-5372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Single Specialty