Mr. MICHAEL COSULICH MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1124439757- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3350 HIGHWAY 138 WEST BUILDING 2, SUITE 122, WALL, NJ, 07719
- Phone
- (732) 280-1200
- Fax
- (732) 280-1207
Specialties & Taxonomies
Dermatology
License: MS #24922
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: NJ #25MA09959400