Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 25MA04139400 | NJ |
NPI | 1063499218 |
---|---|
Provider Name | Dr. Bernard James Kulper |
First Address | Avenel, NJ 07001-1390 |
Second Address | Avenel, NJ 07001-1390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 08/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5042909 | (05) | NJ |
E55130 | (02) | NJ |