Individual
DR. SIGMUND LEWIS KULESSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
123 MAIN ST, SOUTH RIVER, NJ 08882-1231
(732) 254-3892
(732) 254-4037
Mailing address
123 MAIN ST, SOUTH RIVER, NJ 08882-1231
(732) 254-3892
(732) 254-4037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB24981
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171189
—
NJ
Enumeration date
01/13/2006
Last updated
03/27/2009
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