Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC003531L | PA |
NPI | 1952354185 |
---|---|
Provider Name | Dr. Joseph V Mullen |
First Address | Feasterville, PA 19053 |
Second Address | Feasterville, PA 19053-4118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 08/07/2007 |