Organization
MICHAEL KUTKA MD INC
Active
Parent organization
MICHAEL KUTKA, MD, LLC
Other names
Michael Kutka MD Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL KUTKA, MD, LLC
Authorized official
MICHAEL KUTKA MD (PHYSICIAN/OWNER)
(978) 521-7600
Entity
Organization
Contact information
Practice address
62 BROWN ST STE 206, HAVERHILL, MA 01830-6790
(978) 521-7600
(978) 521-7600
Mailing address
62 BROWN ST STE 206, HAVERHILL, MA 01830-6790
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034689A
—
MA
Enumeration date
09/11/2017
Last updated
09/11/2017
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