Individual
DR. JEROME V CIULLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 CROOKS RD, STE 103, TROY, MI 48098-2811
(248) 813-0002
(248) 813-0007
Mailing address
5600 CROOKS RD, STE 103, TROY, MI 48098-2811
(248) 813-0002
(248) 813-0007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301039731
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741033
—
MA
Enumeration date
11/21/2005
Last updated
07/08/2007
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