Kevin Mullen PA-C

NPI 1093773665 - Physician Assistant - 363A00000X

NPI Details
NPI 1093773665
Gender Male
Enumeration Date 05/03/2006
Last Updated 03/05/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1210 BOSTON PROVIDENCE TPKE
NORWOOD MA, 02062-5061, US
Phone (781) 255-0500
Fax (781) 255-0400
Business Location
1210 BOSTON PROVIDENCE TPKE
NORWOOD MA, 02062-5061, US
Phone (781) 255-0500
Fax (781) 255-0400
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number PA2070
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According to our database, Kevin Mullen PA-C NPI is 1093773665, taxonomy code is 363A00000X and license number is PA2070, license state is located at Massachusetts. Kevin Mullen PA-C physically located at 1210 Boston Providence Tpke, Norwood MA, 02062-5061. NPI Number Kevin Mullen PA-C has the Individual type.

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1093773665 NPI number is provided on an as is basis without warranty of any kind. 1093773665 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Mullen PA-C are for informational purposes only.