Individual
DR. DANIEL JOHN MCCULLOUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CUMMINGS CTR, 107W, BEVERLY, MA 01915-6198
(978) 927-1859
(978) 927-2388
Mailing address
900 CUMMINGS CTR, 107 W, BEVERLY, MA 01915-6198
(978) 927-1859
(978) 927-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115631
—
MA
Enumeration date
06/24/2006
Last updated
01/23/2012
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