Provider Demographics
NPI:1386614840
Name:KURTAY-SOZMEN, EREN (MD)
Entity type:Individual
Prefix:
First Name:EREN
Middle Name:
Last Name:KURTAY-SOZMEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SIMON ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3046
Mailing Address - Country:US
Mailing Address - Phone:603-883-0902
Mailing Address - Fax:603-577-9157
Practice Address - Street 1:39 SIMON ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:603-883-0902
Practice Address - Fax:603-577-9157
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH115082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0155951Medicaid
MA0022320OtherNHP
MA260049197OtherRAILROAD MEDICARE
MA268920000OtherMAGELLAN
NHANTHEMOther001Y001229MA01
MACIGNAOther1055030
MAJ24354OtherBCBSMA
MA043476807-13OtherPACIFICARE
MAAETNAOther7199249
MA011988OtherVALUE OPTIONS
MA455235OtherTUFTS
MA969368OtherNETWORK HEALTH
MA281475OtherMHN
MA281475OtherMHN
MA455235OtherTUFTS