Individual
DIANE PERRY MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5055
(617) 499-5045
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5055
(617) 499-5045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234608
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
234608
MA
Other
Enumeration date
09/09/2007
Last updated
03/21/2024
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