Individual
JOANNE G KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, CANCER CENTER, FARMINGTON, CT 06030-2875
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
035970
CT
207P00000X
Emergency Medicine Physician
76316
GA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
035970
CT
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
76316
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
76316
GA
Other
Enumeration date
07/27/2006
Last updated
03/31/2022
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