Provider Demographics
NPI:1871709634
Name:LOUIS KUCHNIR MD PC
Entity type:Organization
Organization Name:LOUIS KUCHNIR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUCHNIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-485-7709
Mailing Address - Street 1:11 APEX DRIVE
Mailing Address - Street 2:STE 103A
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:508-485-7779
Mailing Address - Fax:508-485-7769
Practice Address - Street 1:11 APEX DRIVE
Practice Address - Street 2:STE 103A
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-485-7779
Practice Address - Fax:508-485-7769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM21355Medicare PIN