Individual
DR. THEODORE JOHN KUTCHER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 FRIENDSHIP ST, DEPARTMENT OF DIAGNOSTIC IMAGING, NEWPORT, RI 02840-2209
(401) 845-4253
(401) 848-6008
Mailing address
24 CEDAR ST, NARRAGANSETT, RI 02882-3930
(401) 782-1254
(401) 782-1254
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
08823
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005421
—
RI
Enumeration date
09/27/2006
Last updated
07/08/2007
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