Organization
LAURIE MULVEY, MD L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY WILNO (BILLING MANAGER)
(609) 895-9700
Entity
Organization
Contact information
Practice address
213 NASSAU ST, PRINCETON, NJ 08542-4601
(609) 924-1661
(609) 924-8728
Mailing address
213 NASSAU ST, PRINCETON, NJ 08542-4601
(609) 924-1661
(609) 924-8728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA03996900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562355000
AMERIHEALTH ID
—
01
—
12878
AETNA ID
—
01
—
MES286
OXFORD ID
—
Enumeration date
03/20/2007
Last updated
08/22/2020
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