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Individual

GERARD MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-4166
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 616-7350

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D37257
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
543361400
MD
Enumeration date
05/13/2006
Last updated
02/13/2013
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