Provider Demographics
NPI:1851554976
Name:KURTZ, ELEANOR J (MD)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:J
Last Name:KURTZ
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:828 HEALTHY WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-7958
Mailing Address - Country:US
Mailing Address - Phone:757-305-1797
Mailing Address - Fax:757-309-4715
Practice Address - Street 1:828 HEALTHY WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7958
Practice Address - Country:US
Practice Address - Phone:757-305-1797
Practice Address - Fax:757-309-4715
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2013-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101247486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine