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Individual

MICHAEL THOMAS MULLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR SOUTH PAVILLION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 349-5579
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR SOUTH PAVILLION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 349-5579

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD437409
PA
2084V0102X
Vascular Neurology Physician
Primary
MD437409
PA

Other

Enumeration date
12/27/2006
Last updated
06/17/2015
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