Individual
DR. MIRIAM J MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Mailing address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10007124
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024574
—
DE
01
—
198587
COVENTRY HEALTHCARE
DE
01
—
2360820
UNITED HEALTHCARE
DE
01
—
50071
MID ATLANTIC HEALTH
DE
01
—
510279425
BCBS OF DELAWARE
DE
01
—
7063548
AETNA US HEALTHCARE
DE
01
—
8116364
MAMSI
DE
01
—
PIN 00062633
MEDICARE RAILROAD
DE
Enumeration date
06/28/2005
Last updated
05/12/2014
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