Individual provider · Type 1 NPI

Kurt Daniel Palumbo, PA

Medical Physician Assistant · Philadelphia, PA

NPI number 1104378660 Active

Practice location

3400 Spruce St # 5023
Philadelphia, PA 19104-4238

Call (215) 614-0837 Map

Mailing address

3400 Spruce St, Gates 5023
Philadelphia, PA 19104-4026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X020180 (NY)
Medical Physician Assistant Primary 363AM0700XMA058993 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1104378660

Kurt Daniel Palumbo, PA's National Provider Identifier is 1104378660, issued on Nov 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2022.