Individual provider · Type 1 NPI
Larry D. McCullum
Physician Assistant · Green Brook, NJ
Practice location
1005 North Washington Avenue
Green Brook, NJ 08812
Mailing address
62 Morris Lane
Piscataway, NJ 08854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1669351896
Larry D. McCullum's National Provider Identifier is 1669351896, issued on Sep 1, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Brook, NJ. The record was last updated on Jan 21, 2026.