| 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 | ||||||||