Individual
GREGORY R MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ORANGE AVE STE 228, LIVINGSTON, NJ 07039-5817
(212) 241-6500
Mailing address
200 S ORANGE AVE STE 228, LIVINGSTON, NJ 07039-5817
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA11814000
NJ
208800000X
Urology Physician
312602
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
08/03/2023
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