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
Phone: (732) 613-9155
Fax: (732) 651-0804
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679527790 | NPPES |
| New Jersey | Other | 527195 | MEDICARE PROVIDER ID |
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