Organization
CULLEN UMOSELLA CULLEN & CULLEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD THOMAS CULLEN MD (PRESIDENT)
(301) 839-2790
Entity
Organization
Contact information
Practice address
6188 OXON HILL ROAD, SUITE 704, OXON HILL, MD 20745-3151
(301) 839-2790
(301) 839-3042
Mailing address
6188 OXON HILL ROAD, SUITE 704, OXON HILL, MD 20745-3151
(301) 839-2790
(301) 839-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184800301
—
MD
01
—
CI6115
MEDICARE RAILROAD
MD
01
—
KG10
BCBS MD
—
Enumeration date
12/27/2006
Last updated
04/28/2008
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