Individual
THADDEUS MULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
640 MEMORIAL DR, CAMBRIDGE, MA 02139-4853
(617) 252-6880
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
221206
NY
207ZD0900X
Dermatopathology (Pathology) Physician
221206
NY
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A65484
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A65484
CA
Other
Enumeration date
09/20/2005
Last updated
07/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us