Kutcher, Leslie Mark
Kutcher, Leslie Mark is an individual health care provider with primary practice located at 52 Beach Rd Suite 207, Fairfield CT 06824-6017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kutcher, Leslie Mark can be contacted via phone (203) 255-2003.Contact Information
Primary practice address
52 Beach Rd Suite 207
Fairfield CT 06824-6017
Phone: (203) 255-2003
Fax: (203) 319-7583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 021151 | Connecticut |
Profile Details
| NPI number | 1396790960 |
|---|---|
| LBN Legal business name | Kutcher, Leslie Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396790960 | NPPES |
| Connecticut | Other | 0V5161 | HEALTH NET |
| Connecticut | Other | ZS220 | HEALTH NET |
| Connecticut | Other | 010021151CT01 | HEALTH NET |
| Connecticut | Other | 521151 | HEALTH NET |
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