Organization
CELEBRITYPEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD KULICH M.D. (PRESIDENT)
(917) 617-2194
Entity
Organization
Contact information
Practice address
11 DEBBY LN, WARREN, NJ 07059-5012
(917) 617-2194
Mailing address
11 DEBBY LN, WARREN, NJ 07059-5012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08633400
NJ
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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