Individual
JOHN W KULIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
750 WASHINGTON ST, NEMC BOX 479, BOSTON, MA 02111-1526
(617) 636-4779
(617) 636-7719
Mailing address
750 WASHINGTON ST, NEMC BOX 836, BOSTON, MA 02111-1526
(617) 636-7105
(617) 636-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39576
MA
2080A0000X
Pediatric Adolescent Medicine Physician
39576
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075679
—
MA
Enumeration date
08/25/2006
Last updated
03/25/2010
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