Provider Demographics
NPI:1902033970
Name:MICHAEL J KITTAY MD PC
Entity Type:Organization
Organization Name:MICHAEL J KITTAY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KITTAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-222-1000
Mailing Address - Street 1:95 TOPSAIL DRIVE
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 MIDDLE STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:NEWBURYPORT
Practice Address - State:RI
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-449-0019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty