Individual
MARK C CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 CORPORATE DR, 2ND FL, PORTSMOUTH, NH 03801
(603) 810-8078
Mailing address
7 MARSH BROOK DR STE 205, SOMERSWORTH, NH 03878-6523
(603) 742-2007
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
19638
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117862
—
NH
Enumeration date
03/01/2006
Last updated
01/27/2020
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