Individual
DR. JOSEPH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706
(203) 753-2754
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56560
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2014
Last updated
07/03/2018
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