Individual
KUMKUM MODWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
895 E MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Mailing address
895 E MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039256
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001392563
—
CT
Enumeration date
07/09/2006
Last updated
02/25/2013
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