Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D69736 | MD |
NPI | 1316925662 |
---|---|
Provider Name | Dr. Steven A Kulik JR. |
First Address | Baltimore, MD 21239-2905 |
Second Address | Baltimore, MD 21239-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 15/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104655002 | (05) | AR |
57040C207 | MEDICARE (01) | AR |
E37150 | (02) | AR |