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Individual

DR. EDWARD J. CULLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
C20003928
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001422935
PA
05
0510008
IA
05
2099358
OH
05
6077901
NJ
05
6528414
MD
05
6701256
VA
05
Q03928
SC
Enumeration date
09/28/2006
Last updated
09/12/2011
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