Individual
DR. MARY KATE MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 S 9TH ST, SUITE 600, PHILADELPHIA, PA 19107-6810
(215) 955-1925
(215) 928-3160
Mailing address
211 S 9TH ST, SUITE 600, PHILADELPHIA, PA 19107-6810
(215) 955-1925
(215) 928-3160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD434015
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD434015
PA
208M00000X
Hospitalist Physician
MD434015
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166065
—
NJ
05
—
102177040
—
PA
Enumeration date
05/20/2007
Last updated
03/17/2014
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