NPI 1053611632

Patrick Thomas Mullen

Practitioner Driver Ocean City, NJ

Practice location

Address: 4921 Haven Ave, Ocean City, NJ 08226-1458
Phone: (609) 573-2226

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1053611632
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2010
Record last updated: 28 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.