Individual
WILLIAM R MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
264 PLEASANT ST, CONCORD, NH 03301-2551
(603) 224-3368
(603) 228-7268
Mailing address
264 PLEASANT ST, CONCORD, NH 03301-2551
(603) 224-3368
(603) 228-7268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0507
NH
363AS0400X
Surgical Physician Assistant
0507
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801952692
NSC PROVIDER LOCATION #
—
01
—
1841320207
NSC PROVIDER LOCATION #
NH
01
—
1861558645
NSC PROVIDER LOCATION #
NH
01
—
1881772242
NSC PROVIDER LOCATION #
NH
01
—
1922164797
NSC PROVIDER LOCATION #
NH
01
—
1932256914
NSC PROVIDER LOCATION #
NH
05
—
30333016
—
NH
Enumeration date
07/12/2006
Last updated
03/31/2025
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