Healthcare Provider Details

I. General information

NPI: 1821071770
Provider Name (Legal Business Name): NATHANIEL STROOCK KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 LEONARD ST STE 201
BELMONT MA
02478-2576
US

IV. Provider business mailing address

405 CONCORD AVE UNIT 312
BELMONT MA
02478-7815
US

V. Phone/Fax

Practice location:
  • Phone: 617-489-9090
  • Fax: 870-201-5120
Mailing address:
  • Phone: 617-489-9090
  • Fax: 870-201-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number79826
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: