Individual
MATTHEW DAVID KASULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SURGICAL SERVICES OF AUBURN, 77 NELSON STREET, SUITE 320, AUBURN, NY 13021
(315) 253-1832
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 253-1832
(315) 702-8393
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
284157
NY
Other
Enumeration date
04/06/2010
Last updated
04/13/2021
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