Mullen, David Joshua

Mullen, David Joshua is an individual health care provider with primary practice located at 49 Lake Ave , Greenwich CT 06830-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mullen, David Joshua can be contacted via phone (203) 861-2381.

Contact Information

Primary practice address
49 Lake Ave Greenwich CT 06830-4501
Phone: (203) 861-2381
Fax: (203) 983-3318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 029847 Connecticut

Profile Details

NPI number 1891753240
LBN Legal business name Mullen, David Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891753240 NPPES
Connecticut MEDICAID 001298472

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