Individual
LARRY D MCCULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 NORTH WASHINGTON AVENUE, GREEN BROOK, NJ 08812
(732) 968-8900
Mailing address
62 MORRIS LANE, PISCATAWAY, NJ 08854
(732) 425-1421
(732) 425-1421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
01/21/2026
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