Kulischenko, Idelma

Kulischenko, Idelma is an individual health care provider with primary practice located at 495 Ryders Ln , East Brunswick NJ 08816-2769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kulischenko, Idelma can be contacted via phone (732) 613-9155.

Contact Information

Primary practice address
495 Ryders Ln East Brunswick NJ 08816-2769
Fax: (732) 651-0804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA051157 New Jersey

Profile Details

NPI number 1679527790
LBN Legal business name Kulischenko, Idelma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679527790 NPPES
New Jersey Other 527195 MEDICARE PROVIDER ID

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