Individual
CLAIRISSA MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
TEMPLE UNIVERSITY HOSPITAL, 3401 N. BROAD STREET, PHILADELPHIA, PA 19140
(215) 707-2000
Mailing address
TEMPLE UNIVERSITY HOSPITAL, 3401 N. BROAD STREET, PHILADELPHIA, PA 19140
(215) 707-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT220445
PA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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