Individual
DR. JOHN P MULKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CONGRESS ST, STE 303, QUINCY, MA 02169-0909
(617) 770-4411
(617) 786-8793
Mailing address
700 CONGRESS ST, STE 303, QUINCY, MA 02169-0909
(617) 770-4411
(617) 786-8793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80109
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100518
UNITED
MA
05
—
3131602
—
MA
01
—
463720
CIGNA
MA
01
—
70451
HPHC
MA
01
—
80109
TUFTS
—
01
—
J14803
BCBS
MA
Enumeration date
11/03/2005
Last updated
07/08/2010
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