Individual
DR. PAUL MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, DIVISION OF EMERGENCY MEDICINE, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
601 CHILDRENS LN, DIVISION OF EMERGENCY MEDICINE, NORFOLK, VA 23507-1910
(757) 668-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101258410
VA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
0101258410
VA
208000000X
Pediatrics Physician
MD429329
PA
208000000X
Pediatrics Physician
N5267
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
040772
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209047403
—
TX
Enumeration date
01/10/2010
Last updated
10/16/2019
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