Individual
SEAN MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2900
(413) 923-9322
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2900
(413) 923-9322
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
216519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023016
—
MA
01
—
J26862
BCBS
MA
Enumeration date
06/08/2006
Last updated
02/17/2016
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