Cullamar, Erwin Kurt Tan

Cullamar, Erwin Kurt Tan is an individual health care provider with primary practice located at 789 Central Ave Level 2, Dover NH 03820-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cullamar, Erwin Kurt Tan can be contacted via phone (603) 740-2503.

Contact Information

Primary practice address
789 Central Ave Level 2 Dover NH 03820-2526
Phone: (603) 740-2503
Fax: (603) 740-2497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12371 New Hampshire
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12371 New Hampshire

Profile Details

NPI number 1982605200
LBN Legal business name Cullamar, Erwin Kurt Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 20th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982605200 NPPES
Maine MEDICAID 1982605200
Maine MEDICAID 3074776
Maine Other P00706658

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