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Individual

CHRISTOPHER MARK MULHOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(484) 367-7460
(484) 367-7439
Mailing address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(484) 367-7460
(484) 367-7439

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020055
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
OS020055
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS020055
PENNSYLVANIA DEPARTMENT OF STATE - PROFESSIONAL LICENSING BOARD
PA
Enumeration date
06/05/2017
Last updated
07/08/2022
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