Individual
GUY SCOTT MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Mailing address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MA-64061
NJ
207W00000X
Ophthalmology Physician
Primary
MD-058636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025581000
KEYSTONE
PA
01
—
1636160010
CIGNA
NJ
01
—
1636160011
CIGNA
PA
01
—
180036195
RAILROAD MEDICARE
PA
01
—
2128908
AETNA
PA
01
—
233004475
UNITED HEALTHCARE
—
01
—
583196
AETNA
NJ
01
—
P00027690
RAILROAD MEDICARE
NJ
01
—
P1884042
OXFORD
—
Enumeration date
05/25/2006
Last updated
12/01/2016
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