NPI 1194068858

Matthew Gerard Mullen, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Wilkes Barre, PA

Practice location

Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027
Phone: (570) 808-6020
Fax: (570) 808-2306
Mailing address: 100 N Academy Ave, Danville, PA 17822-4903

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD472418 (PA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194068858
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2013
Record last updated: 10 May 2022

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.