Individual
DR. PATRICK MCCULLOUGH DOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7375
Mailing address
1325 MOUNT HERMON RD, SUITE 14B, SALISBURY, MD 21804-5259
(410) 742-4401
(410) 742-4798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0062873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407816100
—
MD
01
—
P00222914
RAILROAD MEDICARE
MD
Enumeration date
11/16/2005
Last updated
09/28/2007
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