Provider Demographics
NPI:1306813159
Name:KUNIN, ADAM (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:KUNIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8973
Mailing Address - Country:US
Mailing Address - Phone:802-888-8338
Mailing Address - Fax:802-888-8203
Practice Address - Street 1:528 WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8973
Practice Address - Country:US
Practice Address - Phone:802-888-8338
Practice Address - Fax:802-888-8203
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420009339207RC0000X
NY2275281207RC0000X
MA81383207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
030349278OtherUNITED HEALTHCARE
030349278OtherVT MANAGED CARE
030349278OtherONE HEALTH PLAN
030349278OtherUSAA
030349278OtherLETTER CARRIES
P00048142OtherRAILROAD MEDICARE
030349278OtherUNITED AMERICAN
VTOVN1433Medicaid
NY01689225Medicaid
030349278OtherPRINCIPAL LIFE
030349278OtherORVIS
DD5321OtherNY MEDICARE
01689225OtherNY MEDICAID
030349278OtherWAUSAU
030349278OtherUNICARE
030349278OtherFIRST HEALTH
479P21OtherBCBS EMPIRE
NY01689225Medicaid
030349278OtherORVIS