Czymbor-Hepburn, Mary L

Czymbor-Hepburn, Mary L is an individual health care provider with primary practice located at 100 Scenic View Dr , Cumberland RI 02864. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Czymbor-Hepburn, Mary L can be contacted via phone (401) 770-9546.

Contact Information

Primary practice address
100 Scenic View Dr Cumberland RI 02864
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4508778 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01079675B Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10218100 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0085030 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD045882 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 79499 Massachusetts

Profile Details

NPI number 1578577391
LBN Legal business name Czymbor-Hepburn, Mary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 4th, 2018 - about 8 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 1578577391 NPPES
Massachusetts MEDICAID 3130916

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