Doctor Name: | DR. SEYMOUR ISAAC KUMMER |
NPI Number: | 1740329168 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 027856 |
Business Practice Address: | 67 N Park St Ellington, CT - 060294135 |
Business Phone Number: | 8608720118 |
Business Fax Number: | 8608722110 |
Mailing Address: | 67 N Park St, ELLINGTON |
State: | CT |
Postal Code: | 060294135 |
Phone Number: | 8608720118 |
Fax Number: | 8608722110 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 027856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |