Individual
KIMBERLY CUOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E CARROLL STREET, SALISBURY, MD 21801
(410) 543-7536
(410) 543-7272
Mailing address
100 E CARROLL STREET, SALISBURY, MD 21801
(410) 543-7536
(410) 543-7272
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000039103
MEDICAID DELAWARE
DE
01
—
1184832040
GROUP NPI
MD
Enumeration date
03/07/2006
Last updated
08/13/2007
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