Individual
MR. BRIAN J. MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
573 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1307
(973) 450-3077
(973) 450-3077
Mailing address
573 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1307
(973) 450-3077
(973) 450-3077
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
964
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502501
—
NJ
Enumeration date
04/10/2007
Last updated
07/08/2007
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