Organization
KAVITHA KUMBUM PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITHA KUMBUM MD (PRESIDENT)
(201) 686-0155
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(201) 686-0155
Mailing address
17-34 HUNTER PLACE, FAIR LAWN, NJ 07410
(201) 686-0155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
227392
NY
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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