Provider Demographics
NPI:1497858468
Name:BULI, DOLORES C DEE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOLORES C DEE
Middle Name:MICHELLE
Last Name:BULI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:217 OLD HOOK RD
Mailing Address - Street 2:SUITE 3C GARDEN STATE PEDIATRICS LLC
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675
Mailing Address - Country:US
Mailing Address - Phone:201-263-1477
Mailing Address - Fax:201-263-0048
Practice Address - Street 1:217 OLD HOOK RD
Practice Address - Street 2:SUITE 3C GARDEN STATE PEDIATRICS
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675
Practice Address - Country:US
Practice Address - Phone:201-263-1477
Practice Address - Fax:201-263-0048
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06742400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics