Provider Demographics
NPI:1063499218
Name:KULPER, BERNARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:JAMES
Last Name:KULPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1030 SAINT GEORGES AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1390
Mailing Address - Country:US
Mailing Address - Phone:732-750-1200
Mailing Address - Fax:732-602-4044
Practice Address - Street 1:1030 SAINT GEORGES AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1390
Practice Address - Country:US
Practice Address - Phone:732-750-1200
Practice Address - Fax:732-602-4044
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04139400207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5042909Medicaid
NJ5042909Medicaid
NJE55130Medicare UPIN