Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL COSULICH, MD
Active Sole ProprietorMR. MICHAEL COSULICH, MD is a Dermatology healthcare provider located in WALL, New Jersey. NPI 1124439757 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WALL, NJ
Registration Details
- NPI Number
- 1124439757
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2014 (12.27758784518 yrs)
- Last Updated
- Aug 28, 2020
- Licenses
-
24922 (MS)25MA09959400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3350 HIGHWAY 138 WESTBUILDING 2, SUITE 122WALL, NJ, 07719Browse NJ providers · Browse ZIP 07719
- Phone
- 7322801200
- Fax
- 7322801207
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dermatology
Other Dermatology Providers in WALL, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. DANIELLE GIAMBRONE YEAGER | M.D. | 1073975603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.