Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prof. Joseph Kullberg

Individual provider Clinical Medical Laboratory · NPI 1366812703

Prof. Joseph Kullberg is a Clinical Medical Laboratory in Prospect, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2015
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Practice location Address checks out

12 Coachlight Cir
Prospect, CT 06712-1564
Phone: (203) 521-7040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 5867 (CT)

Record details

NPI number1366812703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 28, 2015
Last updated in NPPESSeptember 28, 2015

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