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Individual
MICHAEL EDWARD MULLEN
Active
Individual
MICHAEL EDWARD MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
026100
NY
363A00000X
Physician Assistant
Primary
C0005476
MD
363A00000X
Physician Assistant
MA056918
PA
363AS0400X
Surgical Physician Assistant
026100
NY
363AS0400X
Surgical Physician Assistant
MA056918
PA
363AS0400X
Surgical Physician Assistant
OA003308
PA
Other
Enumeration date
08/21/2014
Last updated
09/06/2026
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