Individual
DR. RONALD JON KULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15 PARKMAN STREET, WAC 3 ANESTHESIA PAIN MANAGEMENT, BOSTON, MA 02114-3117
(617) 726-3332
(617) 726-9210
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515051
—
MA
01
—
732541
TUFTS HEALTH PLAN
MA
01
—
W03810
BCBS MA
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
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