Individual
NICHOLAS JOSEPH MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004634
CT
363A00000X
Physician Assistant
Primary
PA8501
MA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/29/2019
Last updated
06/09/2023
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