Kucharchik, Thomas

Kucharchik, Thomas is an individual health care provider with primary practice located at 481 Gold Star Hwy Suite 100, Groton CT 06340-6702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kucharchik, Thomas can be contacted via phone (860) 446-8858.

Contact Information

Primary practice address
481 Gold Star Hwy Suite 100 Groton CT 06340-6702
Phone: (860) 446-8858
Fax: (860) 405-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25896 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9785 South Carolina

Profile Details

NPI number 1558473769
LBN Legal business name Kucharchik, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 29th, 2013 - 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 1558473769 NPPES
South Carolina MEDICAID 097852
South Carolina Other 761101
South Carolina Other 030897
South Carolina Other NLP057
South Carolina Other SC11353402
South Carolina MEDICAID 001258961
South Carolina Other 010025896CT01

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