Provider Demographics
NPI:1568893493
Name:CULLIGAN, JOSEPH JR (RN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:CULLIGAN
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:WILLIAM
Other - Last Name:CULLIGAN
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:770 WOODLANE RD
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3804
Mailing Address - Country:US
Mailing Address - Phone:606-267-5928
Mailing Address - Fax:609-261-5328
Practice Address - Street 1:770 WOODLANE RD
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-3804
Practice Address - Country:US
Practice Address - Phone:606-267-5928
Practice Address - Fax:609-261-5328
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N011833300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse