Individual
DR. JOCK N MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - CARDIAC SURGERY, LEBANON, NH 03756-1000
(603) 650-7390
(603) 650-6346
Mailing address
1 MEDICAL CENTER DR, DHMC - CARDIAC SURGERY, LEBANON, NH 03756-1000
(603) 650-7390
(603) 650-6346
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
16767
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA05269200
NJ
Other
Enumeration date
06/09/2006
Last updated
02/06/2015
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