Organization
MICHAEL KUTKA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KUTKA M.D. (OWNER)
(978) 521-7600
Entity
Organization
Contact information
Practice address
62 BROWN ST, SUITE 502B, HAVERHILL, MA 01830-6778
(978) 521-7600
(978) 521-7176
Mailing address
62 BROWN ST, SUITE 502B, HAVERHILL, MA 01830-6778
(978) 521-7600
(978) 521-7176
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
217914
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275530172
PERSONAL NPI #
MA
05
—
2019655
—
MA
Enumeration date
01/23/2012
Last updated
01/23/2012
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