Individual
JOHN F. MULQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 LAWRENCE ST, GARDNER, MA 01440-2364
(978) 630-2306
(978) 630-3182
Mailing address
190 LAWRENCE ST, GARDNER, MA 01440-2364
(978) 630-2306
(978) 630-3182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70395
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045501
—
MA
Enumeration date
11/07/2005
Last updated
02/26/2014
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