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Individual

MICHAEL C KUMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31 COLCORD ST, SOUTH BERWICK, ME 03908-1004
(207) 384-4949
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(207) 384-4949

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16178
NH
207Q00000X
Family Medicine Physician
Primary
MD17687
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184795205
ME
05
3087910
NH
Enumeration date
11/11/2006
Last updated
12/09/2016
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