Provider Demographics
NPI:1508967233
Name:MATTHEW KULKA, D.O., P.C.
Entity Type:Organization
Organization Name:MATTHEW KULKA, D.O., P.C.
Other - Org Name:NEWTOWN MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PC
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KULKA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-968-3655
Mailing Address - Street 1:1703 LANGHORNE NEWTOWN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1082
Mailing Address - Country:US
Mailing Address - Phone:215-968-3655
Mailing Address - Fax:215-968-4830
Practice Address - Street 1:1703 LANGHORNE NEWTOWN RD STE 1
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1082
Practice Address - Country:US
Practice Address - Phone:215-968-3655
Practice Address - Fax:215-968-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty