Individual
DR. LESLIE MARK KUTCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 BEACH RD, SUITE 207, FAIRFIELD, CT 06824-6017
(203) 255-2003
(203) 319-7583
Mailing address
255 BAYVIEW BLVD, STRATFORD, CT 06615-7921
(203) 345-7109
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
021151
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021151CT01
ANTHEM BLUE CROSS
CT
01
—
0V5161
HEALTH NET
CT
01
—
521151
CONNECTICARE
CT
01
—
ZS220
OXFORD
CT
Enumeration date
05/23/2006
Last updated
07/08/2007
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