Individual
KURT W KAULBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 MULLICA HILL RD STE 330, MULLICA HILL, NJ 08062-4453
(856) 845-3707
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05825500
NJ
207RI0011X
Interventional Cardiology Physician
MA58255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0713776000
AMERIHEALTH
NJ
01
—
0713776000
PENNSYLVANIA BLUE SHIELD
PA
01
—
1046902
HORIZON MERCY
NJ
01
—
110099862
RAILROAD MEDICARE
NJ
01
—
222173875
UNIFORMED FAMILY SERVICES
NJ
01
—
465892
AETNA HMO
NJ
05
—
6164901
—
NJ
01
—
769732
AMERIHEALTH ADMINISTRATOR
NJ
01
—
F04775
HEALTHNET
NJ
01
—
P405902
OXFORD
NJ
Enumeration date
05/25/2006
Last updated
07/24/2025
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