Provider Demographics
NPI:1831716976
Name:KURBAJ, NORA (PA-C)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:KURBAJ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR STE 117T
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6183
Mailing Address - Country:US
Mailing Address - Phone:978-232-9400
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 117T
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6183
Practice Address - Country:US
Practice Address - Phone:978-232-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-05
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant