Individual
ANDREW WILLIAM MULVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3369 STATE ROUTE 100, MACUNGIE, PA 18064-9613
(610) 402-8111
Mailing address
6333 S EAST ST, INDIANAPOLIS, IN 46227-7107
(317) 783-7474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01050619A
IN
207P00000X
Emergency Medicine Physician
Primary
MD483514
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090521
ANTHEM
IN
01
—
000000365253
ANTHEM
IN
05
—
200256820
—
IN
Enumeration date
07/18/2006
Last updated
03/27/2024
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