Individual
GUY SCOTT MULLIN
Active
Individual
GUY SCOTT MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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