Healthcare Provider Details

I. General information

NPI: 1083633283
Provider Name (Legal Business Name): EROL ULKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 NEWARK AVENUE SUITE 200 UROLOGY CONSULTANTS PA
BELLEVILLE NJ
07109-4121
US

IV. Provider business mailing address

1 DIAMOND HILL RD
BERKELEY HEIGHTS NJ
07922-2104
US

V. Phone/Fax

Practice location:
  • Phone: 973-759-6950
  • Fax: 973-759-6945
Mailing address:
  • Phone: 908-273-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number25MA04115800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: