Individual
DR. CHARLES PATRICK MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH
Contact information
Practice address
330 BROOKLINE AVE, DEPARTMENT OF RADIOLOGY, BIDMC, BOSTON, MA 02215-5400
(617) 947-3082
Mailing address
400 BROOKLINE AVE, APT 13G, BOSTON, MA 02215-5408
(617) 947-3082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
235225
MA
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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