Organization
AW KULISCHENKO MD, I KULISCHENKO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER W KULISCHENKO MD (PROP./OWNER)
(732) 613-9155
Entity
Organization
Contact information
Practice address
495 RYDERS LN, EAST BRUNSWICK, NJ 08816-2769
(732) 613-9155
(732) 651-0804
Mailing address
495 RYDERS LN, EAST BRUNSWICK, NJ 08816-2769
(732) 613-9155
(732) 651-0804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA43009
NJ
Other
Enumeration date
05/22/2006
Last updated
10/16/2007
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