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Individual
STEPHEN B CULLEN
Active
Individual
STEPHEN B CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35080199C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224712
ANTHEM
OH
01
—
080185101
RAILROAD MEDICARE
OH
05
—
2337288
—
OH
01
—
736
SUMMA
OH
01
—
98517
QUAL CHOICE
OH
Enumeration date
01/23/2006
Last updated
01/09/2012
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