Individual
ERWIN KURT TAN CULLAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, LEVEL 2, DOVER, NH 03820-2526
(603) 740-2503
(603) 740-2497
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
(603) 740-2497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12371
NH
208M00000X
Hospitalist Physician
Primary
12371
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982605200
—
ME
05
—
3074776
—
NH
01
—
P00706658
RR MEDICARE
NH
Enumeration date
08/09/2005
Last updated
02/20/2014
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