Individual
DR. ANTHONY KULCZYCKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 HIGHLANDS PLAZA DR E, DIV ALLERGY & IMMUNOLOGY, STE 300, SAINT LOUIS, MO 63110-1392
(314) 273-5838
(314) 273-5839
Mailing address
660 S EUCLID AVE, CB 8122, SAINT LOUIS, MO 63110-1010
(314) 454-8917
(314) 454-5140
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
R7229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200869501
—
MO
Enumeration date
07/17/2006
Last updated
11/15/2021
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