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Individual

ANDREW JOHN MCCULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195-6202
(703) 403-2652
Mailing address
13158 APPLEGROVE LN, HERNDON, VA 20171-3943
(703) 403-2652

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT225137
PA
2085R0202X
Diagnostic Radiology Physician
Primary
57.255112
OH

Other

Enumeration date
04/16/2022
Last updated
07/30/2023
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