Individual
PATRICK MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 WESTFIELD RD, MOORESTOWN, NJ 08057-2123
(856) 914-0444
Mailing address
1113 GARFIELD AVE, CINNAMINSON, NJ 08077-2225
(856) 829-0232
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
46TA09019000
NJ
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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