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Individual
S M GOULD MULLIGAN
Active
Individual
S M GOULD MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00263000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000464100
AMERICHOICE
NJ
01
—
1153685
HORIZON NJ HEALTH
NJ
01
—
2008280000
AMERIHEALTH
NJ
01
—
51310
AMERIGROUP
NJ
01
—
6299205
GHI
—
01
—
7382775
CIGNA
NJ
05
—
8601801
—
NJ
01
—
IK9329
HEALTH NET
—
01
—
P2524077
OXFORD
—
Enumeration date
07/24/2006
Last updated
04/26/2013
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