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NPI Code Detail

MEDICARE: ARCHANA KULKARNI P.T., M.H.S.

MEDICARE:   ARCHANA  KULKARNI  P.T., M.H.S.
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
1208D00000XGeneral Practice Physician40QA01697400NJ
2225100000XPhysical Therapist40QA01697400NJ

General Provider Information

NPI Number : 1679017271
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARCHANA KULKARNI P.T., M.H.S.
Provider Business Mailing Address
First Line : 270 MARIN BLVD APT 6F
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3699
Country : US
Telephone Number : 317-457-1627
Fax Number :
Provider Business Practice Location Address
First Line : 361 MONTGOMERY ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3345
Country : US
Telephone Number : 201-932-2656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2016
Last Update Date : 06/03/2024

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