Individual
TERRENCE MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO,MPH
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(800) 227-6472
Mailing address
2100 SOUTH RD, BALTIMORE, MD 21209-4512
(202) 344-6824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34392
MS
207P00000X
Emergency Medicine Physician
3894
AL
207P00000X
Emergency Medicine Physician
Primary
H0059022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102201815
STATE LICENSE
VA
05
—
381221900
—
MD
01
—
DO210001668
STATE LICENSE
DC
01
—
H0059022
STATE LICENSE
MD
Enumeration date
06/14/2006
Last updated
03/31/2026
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