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Individual

JAMES MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
123 MEDICAL CENTER DR, MID COAST HOSPITAL, BRUNSWICK, ME 04011-2652
(207) 729-0181
Mailing address
174 S FREEPORT RD, FREEPORT, ME 04032-6145
(207) 865-1819
(207) 865-4535

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
015374
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010453642
GREAT WEST/ONE HEALTH
ME
01
061435
ANTHEM
ME
01
1770663312
TRICARE
ME
01
3844033
AETNA
ME
05
432026499
ME
01
8203907
CIGNA
ME
01
AA48943
HARVARD PILGRIM
ME
01
P00302743
RR MEDICARE
ME
Enumeration date
10/17/2006
Last updated
07/13/2007
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