| Doctor Name: | JEFFREY MARLOWE KUCINE |
| NPI Number: | 1407076128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | H0036889 |
| Business Practice Address: | 107 Ridgely Ave Suite 14c Annapolis, MD - 214011417 |
| Business Phone Number: | 4102633313 |
| Business Fax Number: | 4102634651 |
| Mailing Address: | 107 Ridgely Ave, Suite 14c ANNAPOLIS |
| State: | MD |
| Postal Code: | 214011417 |
| Phone Number: | 4102633313 |
| Fax Number: | 4102634651 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H0036889 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |