Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 224371 | NY |
Y | 2084N0402X | Child Neurologist | 25MA07970000 | NJ |
NPI | 1245263441 |
---|---|
Provider Name | Dr. Romana Kulikova |
First Address | Garwood, NJ 07027 |
Second Address | Garwood, NJ 07027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 14/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45183 | (02) |