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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROF. JOSEPH KULLBERG

Active Sole Proprietor

PROF. JOSEPH KULLBERG is a Clinical Medical Laboratory healthcare provider located in PROSPECT, Connecticut. NPI 1366812703 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · PROSPECT, CT

Registration Details

NPI Number
1366812703
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2015 (10.908205531568 yrs)
Last Updated
Sep 28, 2015
License
5867 (CT)
Sole Proprietor
Yes

Practice Information

Address
12 COACHLIGHT CIR
PROSPECT, CT, 067121564
Browse CT providers · Browse ZIP 06712
Phone
2035217040
Primary Specialty
Clinical Medical Laboratory
291U00000X
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.