Provider Demographics
NPI:1548414832
Name:J H CUTCHIN MD PC
Entity Type:Organization
Organization Name:J H CUTCHIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-546-3125
Mailing Address - Street 1:5544 CATCHPENNY RD
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:MD
Mailing Address - Zip Code:21856-2001
Mailing Address - Country:US
Mailing Address - Phone:410-546-3125
Mailing Address - Fax:410-546-3128
Practice Address - Street 1:659 S SALISBURY BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5453
Practice Address - Country:US
Practice Address - Phone:410-546-3125
Practice Address - Fax:410-546-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004230261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS041Medicare UPIN