Individual
MRS. VERA JANE MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124
(617) 825-9660
Mailing address
637 WASHINGTON ST, CODMAN SQUARE HEALTH CENTER, DORCHESTER, MA 02124
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA3898
MA
363A00000X
Physician Assistant
Primary
PA3898
MA
Other
Enumeration date
02/05/2010
Last updated
07/20/2021
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