Individual
BRIGID A MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46 FAIRVIEW AVE STE 229, SKOWHEGAN, ME 04976-1481
(207) 474-7131
(207) 474-3998
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-8358
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17243
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 0404305
TAX ID
ME
01
—
098243
ANTHEM
ME
01
—
1290858
AETNA
ME
01
—
3539521
CIGNA
ME
05
—
432337299
—
ME
01
—
P00375036
RAILROAD MEDICARE
ME
Enumeration date
08/24/2006
Last updated
08/15/2025
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