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NPI Code Detail

MEDICARE: DR. CATHERINE VICTORIA KULICK MD

MEDICARE: DR. CATHERINE VICTORIA KULICK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084E0001XEpilepsy PhysicianMD476751PA
22084N0400XNeurology PhysicianMD476751PA

General Provider Information

NPI Number : 1235626904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE VICTORIA KULICK MD
Provider Business Mailing Address
First Line : 3400 SPRUCE ST
Second Line : 3 W GATES
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 215-662-3606
Fax Number : 215-349-5579
Provider Business Practice Location Address
First Line : 3400 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5127
Country : US
Telephone Number : 215-662-3606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 12/05/2025

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