Individual
JAMES MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5180
Mailing address
79 FOXCROFT RD, WEST HARTFORD, CT 06119-1060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP05924
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP05924
RI
Other
Enumeration date
06/12/2023
Last updated
06/18/2024
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