Individual
DR. MARK A MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8321
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163431
—
MA
Enumeration date
11/09/2005
Last updated
07/30/2015
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