Individual
DR. SEAN MICHAEL KUCZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 967-8622
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 967-8622
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203988
VA
207Q00000X
Family Medicine Physician
OT014360
PA
207R00000X
Internal Medicine Physician
Primary
0102203988
VA
Other
Enumeration date
07/14/2011
Last updated
02/23/2023
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