| Organization Name: | SOUTH RIVER MEDICAL ASSOCIATES,P.A. |
| NPI Number: | 1922163104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIGMUND LEWIS KULESSA (PHYSICIAN) |
| Mailing Address: | 123 Main St South River |
| State: | NJ US |
| Postal Code: | 088821231 |
| Phone Number: | 7322543892 |
| Fax Number: | 7322549037 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 03/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | MA63986 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |