Provider Demographics
NPI:1316925662
Name:KULIK, STEVEN A JR (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:KULIK
Suffix:JR
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:SMYTH BLDG., SUITE G-1
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:443-444-4730
Mailing Address - Fax:443-444-4752
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:SMYTH BLDG., SUITE G-1
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:443-444-4730
Practice Address - Fax:443-444-4752
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD69736207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104655002Medicaid
AR57040C207OtherMEDICARE
AR57040C207OtherMEDICARE
ARE37150Medicare UPIN
AR104655002Medicaid