Individual
WILLIAM H CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
114 WOODLAND ST, DEPARTMENT OF SURGERY, HARTFORD, CT 06105-1208
(860) 714-4694
(860) 714-8096
Mailing address
114 WOODLAND ST, DEPARTMENT OF SURGERY, HARTFORD, CT 06105-1208
(860) 714-4694
(860) 714-8096
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1964
LICENSE
CT
Enumeration date
10/02/2007
Last updated
10/21/2021
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