Mr. Michael Cosulich, MD
Dermatology in Wall, New Jersey
1124439757- Practice location
- 3350 Highway 138 West, Building 2, Suite 122, Wall, NJ 07719
- Phone
- 732-280-1200
- Fax
- 732-280-1207
- Last updated
- August 28, 2020
Michael Cosulich is a Dermatology based in Wall, NJ. Michael Cosulich practices in Wall, NJ and has the professional credentials of MD. The NPI Number for Michael Cosulich is 1124439757 and holds a License No. 24922 (MS). The current practice location address for Michael Cosulich is 3350 Highway 138 West, Building 2, Suite 122, Wall, NJ 07719 and can be reached out via phone at 732-280-1200 and via fax at 732-280-1207.
Provider Profile Details
- NPI Number
- 1124439757
- Provider Name
- Michael Cosulich
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3350 Highway 138 West, Building 2, Suite 122, Wall, NJ 07719
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 16, 2014
- Last Update Date
- August 28, 2020
- Certification Date
- August 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3350 Highway 138 West
Building 2, Suite 122
Wall, NJ 07719 - City
- Wall
- State
- New Jersey
- Zip
- 07719
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
Provider Business Mailing Address Details
- Address
- 3350 Highway 138 West
Building 2, Suite 122
Wall, NJ 07719 - City
- Wall
- State
- NJ
- Zip
- 07719
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
License Information
- License Number (1)
- 24922
- License State (1)
- MS
- Taxonomy (1)
- Dermatology · 207N00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 25MA09959400
- License State (3)
- NJ
- Taxonomy (3)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Michael Cosulich, MD?
The NPI number of Mr. Michael Cosulich, MD is 1124439757. It was assigned on May 16, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Michael Cosulich, MD?
Mr. Michael Cosulich, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MS under license number 24922.
Where does Mr. Michael Cosulich, MD practice?
The practice location is 3350 Highway 138 West, Building 2, Suite 122, Wall, NJ 07719. The office can be reached at 732-280-1200 (phone) or 732-280-1207 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124439757 directly on the NPPES registry website.