Healthcare Provider Details

I. General information

NPI: 1871709634
Provider Name (Legal Business Name): LOUIS KUCHNIR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 APEX DRIVE STE 103A
MARLBOROUGH MA
01752
US

IV. Provider business mailing address

11 APEX DRIVE STE 103A
MARLBOROUGH MA
01752
US

V. Phone/Fax

Practice location:
  • Phone: 508-485-7779
  • Fax: 508-485-7769
Mailing address:
  • Phone: 508-485-7779
  • Fax: 508-485-7769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN KUCHNIR
Title or Position: BILLING MANAGER
Credential:
Phone: 508-485-7709