Provider Demographics
NPI:1063549947
Name:KURREK, MATT M (MD)
Entity type:Individual
Prefix:
First Name:MATT
Middle Name:M
Last Name:KURREK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF ANESTHESIA
Mailing Address - Street 2:3030 BIRCHMOUNT ROAD
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ON
Mailing Address - Zip Code:M1W 3W3
Mailing Address - Country:CA
Mailing Address - Phone:416-399-7640
Mailing Address - Fax:
Practice Address - Street 1:DEPT. OF ANAESTHESIA
Practice Address - Street 2:3030 BIRCHMOUNT ROAD
Practice Address - City:TORONTO
Practice Address - State:ON
Practice Address - Zip Code:M1W3W3
Practice Address - Country:CA
Practice Address - Phone:416-399-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2009-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75621207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology