Active NPIIndividual providerSole proprietor

Dr. Wanda J Mikulski, MD

Family Medicine in Bloomfield, New Jersey

NPI Number1962510727
Practice location
1310 Broad St, Bloomfield, NJ 07003
Fax
973-338-0522
Last updated
April 17, 2009

Wanda Janina Mikulski is a Family Medicine based in Bloomfield, NJ. Wanda Janina Mikulski practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Wanda Janina Mikulski is 1962510727 and holds a License No. MA035627 (MD). The current practice location address for Wanda Janina Mikulski is 1310 Broad St, Bloomfield, NJ 07003 and can be reached out via phone at 973-338-5660 and via fax at 973-338-0522.

Provider Profile Details

NPI Number
1962510727
Provider Name
Wanda Janina Mikulski
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1310 Broad St, Bloomfield, NJ 07003
Phone Number
973-338-5660
Fax Number
973-338-0522
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2006
Last Update Date
April 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Broad St
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-338-5660
Fax Number
973-338-0522
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1310 Broad St
Bloomfield, NJ 07003
City
Bloomfield
State
NJ
Zip
07003
Phone Number
973-338-5660
Fax Number
973-338-0522

License Information

License Number
MA035627
License State
MD
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Wanda J Mikulski, MD?

The NPI number of Dr. Wanda J Mikulski, MD is 1962510727. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wanda J Mikulski, MD?

Dr. Wanda J Mikulski, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MD under license number MA035627.

Where does Dr. Wanda J Mikulski, MD practice?

The practice location is 1310 Broad St, Bloomfield, NJ 07003. The office can be reached at 973-338-5660 (phone) or 973-338-0522 (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 1962510727 directly on the NPPES registry website.

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