Larry D Mccullum
NPI #1669351896 in Green Brook, New Jersey
Provider Information
- NPI Number
- 1669351896
- Entity Type
- Individual
- Name
- Larry D Mccullum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 1, 2025
- Last Updated
- Jan 21, 2026
Practice Location
- Address
- 1005 NORTH WASHINGTON AVENUE
- City
- Green Brook
- State
- New Jersey
- ZIP Code
- 08812
- Phone
- (732) 968-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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