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Individual

DR. EDWARD THOMAS CULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0026607
MD
207R00000X
Internal Medicine Physician
MD13637
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202
BCBS NATL CAPITOL AREA
01
144561
UNITED HEALTH CARE
01
4086948
AETNA
01
41238504
BCBS OF MARYLAND
Enumeration date
12/13/2006
Last updated
03/04/2008
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