Individual
DR. JOSEPH P. MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 E LEHIGH AVE, OM2, PHILADELPHIA, PA 19125
(215) 707-3613
(215) 707-5404
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI02271900
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030297L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055824
—
NJ
Enumeration date
08/01/2006
Last updated
07/24/2019
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