Individual
DR. JENNIFER A MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
50 STANIFORD ST STE 430, BOSTON, MA 02114-2541
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.074597
IL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
334136
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
1015157
MA
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
80087
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
01/27/2026
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