Organization
SOUTH RIVER MEDICAL ASSOCIATES,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIGMUND LEWIS KULESSA JR. D.O. (PHYSICIAN)
(732) 254-3892
Entity
Organization
Contact information
Practice address
123 MAIN ST, SOUTH RIVER, NJ 08882-1231
(732) 254-3892
(732) 254-9037
Mailing address
123 MAIN ST, SOUTH RIVER, NJ 08882-1231
(732) 254-3892
(732) 254-9037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB24981
NJ
207RC0000X
Cardiovascular Disease Physician
MA63986
NJ
Other
Enumeration date
12/27/2006
Last updated
03/27/2009
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