Individual
DR. DAVID JOSHUA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 LAKE AVE, GREENWICH, CT 06830-4501
(203) 861-2381
(203) 983-3318
Mailing address
49 LAKE AVE, GREENWICH, CT 06830-4501
(203) 861-2381
(203) 983-3318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
029847
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001298472
—
CT
Enumeration date
05/03/2006
Last updated
09/14/2010
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