Kulbaski, Mark John

Kulbaski, Mark John is an individual health care provider with primary practice located at 830 Oak St Ste 200W , Brockton MA 02301-1191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kulbaski, Mark John can be contacted via phone (774) 480-1600.

Contact Information

Primary practice address
830 Oak St Ste 200W Brockton MA 02301-1191
Phone: (774) 480-1600
Fax: (774) 480-1625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 78343 Massachusetts

Profile Details

NPI number 1699756247
LBN Legal business name Kulbaski, Mark John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699756247 NPPES
Massachusetts MEDICAID 110149524A

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