Individual
SAMANTHA MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE STE 867.2, CINCINNATI, OH 45220-2475
(513) 862-6200
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(132) 461-9645
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01088094A
IN
207VM0101X
Maternal & Fetal Medicine Physician
2018011076
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35.141231
OH
207VM0101X
Maternal & Fetal Medicine Physician
55023
KY
Other
Enumeration date
04/30/2014
Last updated
09/12/2022
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