Mark John Kulbaski in Brockton - Vascular Surgery
Mark John Kulbaski - NPI 1699756247
Mark John Kulbaski is a Vascular Surgery in Brockton, Massachusetts. Mark John Kulbaski practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark John Kulbaski is 1699756247. The last update date is 2023-03-10.
Mark John Kulbaski's current location address is 830 Oak St Ste 200w, Brockton, Massachusetts. You can contact this provider via phone number 7744801600 and fax number 7744801625. The mailing address for Mark John Kulbaski is 830 Oak St Ste 200w, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark John Kulbaski |
|---|---|
| Address | 830 Oak St Ste 200w, Brockton, Massachusetts |
| Phone Number | 7744801600 |
| Fax Number | 7744801625 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699756247 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | 830 Oak St Ste 200w |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23011191 |
| Phone Number | 7744801600 |
| Fax Number | 7744801625 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 78343 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110149524A | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark John Kulbaski by the Centers for Medicare & Medicaid Services?
The Mark John Kulbaski has been issued the NPI (National Provider Identifier) 1699756247 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark John Kulbaski's facilities are situated?
The facilities of Mark John Kulbaski are physically located at the following address: 830 Oak St Ste 200W, Brockton, MA, 23011191.
What is the Mark John Kulbaski's specialty and taxonomy code?
The Mark John Kulbaski's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
When did the Mark John Kulbaski receive its 1699756247?
The Mark John Kulbaski was issued its 1699756247 on 2005-11-10, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark John Kulbaski most recently updated?
The details pertaining to the Mark John Kulbaski, including its address, specialty, and other relevant information, were last refreshed on 2023-03-10.