Provider Demographics
NPI:1982654596
Name:KURTZ, LINDA L (DO)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:KURTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 820137
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0137
Mailing Address - Country:US
Mailing Address - Phone:610-270-2352
Mailing Address - Fax:610-270-2358
Practice Address - Street 1:559 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4250
Practice Address - Country:US
Practice Address - Phone:484-622-0700
Practice Address - Fax:484-622-0643
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005450L2085P0229X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001144417024Medicaid
PA0115530000OtherAMERIHEALTH/INTERCOUNTY
PA08722-OS005450LOtherHEALTH PARTNERS
PA0115530000OtherIBC - PC/KHPE
PA1154308OtherKEYSTONE MERCY
PA2305937OtherCIGNA HMO/PPO
PA300126550OtherRRM
PA0114441704OtherAMERICHOICE (UHC MA PLAN)
PA538665OtherHIGHMARK BLUE SHIELD
PA2635100OtherAETNA
PA401947OtherPHCS
PA2305937OtherCIGNA HMO/PPO
PA1154308OtherKEYSTONE MERCY