NHIC NE OPT OUT PROVIDERS
JANUARY-MARCH 2006
Maine-31142 Opt Out Providers
Last First MI Address City State Zip Code Eff Date End Date
KOZMA ANTHONY J 50 PARK RD STE 5 WESTBROOK ME 04092-3176 1/1/2006 12/31/2007
MCCLOY SEAN F 73 EMERY ST PORTLAND ME 04102 1/21/2006 1/20/2008
EVANS STANLEY J 50 PARK RD NUM 5 WESTBROOK ME 04092-3176 1/1/2006 12/31/2007
Massachusetts 31143-Opt Out Providers
Last First MI Address City State Zip Code Eff Date  End Date
KIM DENNIS M  115 MILL ST BELMONT MA 02478 1/1/2006 12/31/2007
New Hampshire 31144-Opt Out Providers
Last First MI Address City State Zip Code Eff Date  End Date
NONE
Vermont 31145-Opt Out Providers
Last First MI Address City State Zip Code Eff Date  End Date
PELLETIER CORINNE A 103 SOUTH MAIN ST WATERBURY VT 05671-2501 1/1/2006 12/31/2007
4/13/2006