Individual
DR. DAVID S MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-3646
(203) 879-7191
Mailing address
777 ECHO LAKE RD UNIT F, WATERTOWN, CT 06795-6618
(860) 274-1773
(860) 945-6820
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000766
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004223715
—
CT
01
—
00422371500
BLUECARE FAMILY PLAN
CT
01
—
030000766CT01
BLUECROSS AND SHEILD
CT
01
—
076600
CONNECTICARE INC
—
01
—
2940733
AETNA HEALTH PLANS
—
01
—
2V4427
HEALTHNET
—
01
—
480034412
RAILROAD MEDICARE
—
01
—
5896507
CIGNA HEALTH PLANS
—
01
—
P2864777
OXFORD HEALTH PLANS
—
Enumeration date
06/09/2005
Last updated
09/12/2018
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