Organization
KUMKUM S MODWEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KUMKUM S MODWEL MD (OWNER)
(203) 270-7592
Entity
Organization
Contact information
Practice address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-1077
(203) 270-0420
Mailing address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-1077
(203) 270-0420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001392563
—
CT
Enumeration date
01/10/2014
Last updated
01/10/2014
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