Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | D52866 | MD |
Y | 207QA0401X | Family Doctor - Addiction Medicine | D52866 | MD |
NPI | 1568564003 |
---|---|
Provider Name | Paul Kulpinski |
First Address | Baltimore, MD 21264-4380 |
Second Address | Baltimore, MD 21201-1771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 19/03/2012 |