Individual
DR. BRENDAN D MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HEALTH PARK DR, SUITE 220, REX HEMATOLOGY ONCOLOGY ASSOCIATES OF GARNER, GARNER, NC 27529-4685
(919) 250-5955
(919) 250-5954
Mailing address
300 HEALTH PARK DR, SUITE 220, REX HEMATOLOGY ONCOLOGY ASSOCIATES OF GARNER, GARNER, NC 27529-4685
(919) 250-5955
(919) 250-5954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226196
MA
207RH0003X
Hematology & Oncology Physician
Primary
2013-01592
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCF513D555
MEDICARE PTAN
NC
Enumeration date
06/01/2006
Last updated
09/11/2015
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