Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA07802200 | NJ |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 25MA07802200 | NJ |
NPI | 1497727721 |
---|---|
Provider Name | Patrick Culligan |
First Address | Morristown, NJ 07960-6422 |
Second Address | Morristown, NJ 07960-6422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 17/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G58906 | (02) | NJ |