Individual
WILLIAM J. MULLALLY
Active
Individual
WILLIAM J. MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46261
MA
2084N0400X
Neurology Physician
Primary
46261
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014880
NEIGHBORHOOD HEALTH PLAN
MA
01
—
046261
TUFTS HEALTH PLAN
MA
01
—
111404
HARVARD PILGRIM
MA
05
—
3179591
—
MA
01
—
7011385-002
CIGNA
MA
01
—
J12153
BLUE CROSS
MA
01
—
P00086706
MEDICARE RAILROAD
MA
Enumeration date
09/29/2006
Last updated
06/07/2011
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