Provider Demographics
NPI:1386964989
Name:KURYAN, JOCELYN THERESA (MD)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:THERESA
Last Name:KURYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:319 2ND STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3811
Mailing Address - Country:US
Mailing Address - Phone:215-355-4428
Mailing Address - Fax:215-355-0790
Practice Address - Street 1:319 2ND STREET PIKE
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3811
Practice Address - Country:US
Practice Address - Phone:215-355-4428
Practice Address - Fax:215-355-0790
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443789207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist