Individual
MRS. JACQUELINE MARY MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDN
Contact information
Practice address
2200 WHITNEY AVE, SUITE 180, HAMDEN, CT 06518-3691
(203) 407-2500
(203) 407-5812
Mailing address
2470 BOSTON POST RD, SUITE 180, GUILFORD, CT 06437-1467
(203) 407-2500
(203) 407-5812
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
000730
CT
Other
Enumeration date
02/01/2006
Last updated
09/19/2016
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