Individual
MICHAEL V KULISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 FRANK B MURRAY ST, SPRINGFIELD, MA 01103-1106
(413) 210-1689
Mailing address
48 COLONIAL CIR UNIT D, CHICOPEE, MA 01020-1949
(413) 210-1689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2332285
MA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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