# KUMKUM S MODWEL MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770905754
- **Authorized official:** MRS. KUMKUM S MODWEL MD (OWNER)
- **Authorized official phone:** (203) 270-7592

## Contact information

- **Practice address:** 153 S MAIN ST, NEWTOWN, CT 06470-2791
- **Practice address phone:** (203) 270-1077
- **Practice address fax:** (203) 270-0420
- **Mailing address:** 153 S MAIN ST, NEWTOWN, CT 06470-2791
- **Mailing address phone:** (203) 270-1077
- **Mailing address fax:** (203) 270-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CT | Yes |

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 01/10/2014