Organization
RICHARD W. CULLEN, DPM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CULLEN (MANAGER)
(781) 444-7137
Entity
Organization
Contact information
Practice address
300 CHESTNUT ST, NEEDHAM, MA 02492-2497
(781) 444-2496
(781) 444-4961
Mailing address
300 CHESTNUT ST, SUITE 500, NEEDHAM, MA 02492-2497
(781) 444-7137
(781) 444-4961
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
1693
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
1693
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33606
HPHC
MA
01
—
702718
TUFTS
MA
01
—
YY7073
BCBS
MA
Enumeration date
10/20/2006
Last updated
10/30/2012
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