Individual
CATHERINE T MULQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 422-2922
(508) 634-3687
Mailing address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 422-2922
(508) 634-3687
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
221243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037730A
—
MA
01
—
11363079
CAQH ID#
—
01
—
7293684
AETNA
MA
01
—
AA568344
HARVARD PILGRIM HEALTH CARE
MA
01
—
J27556
MA BC/BS
MA
Enumeration date
06/06/2006
Last updated
03/17/2018
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