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Individual

MR. NICHOLAS J MULHEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
765 LIBERTY STREET, SUITE 111, MEADVILLE, PA 16335
(814) 336-6384
(614) 722-4380
Mailing address
765 LIBERTY STREET, SUITE 111, MEADVILLE, PA 16335
(814) 336-6384
(614) 722-4380

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34011357
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
OS-017085
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
34011357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103856
OH
Enumeration date
04/13/2011
Last updated
02/09/2023
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