Provider Demographics
NPI:1235173568
Name:KUYINU, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:KUYINU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:O
Other - Last Name:KUYINU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:204 SUMMERHILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4903
Mailing Address - Country:US
Mailing Address - Phone:732-254-1030
Mailing Address - Fax:732-254-2055
Practice Address - Street 1:204 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4903
Practice Address - Country:US
Practice Address - Phone:732-254-1030
Practice Address - Fax:732-254-2055
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA57653208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics