person
Mr. William R Mullen, PA-C
Surgical Physician Assistant in Manchester, New Hampshire
NPI 1144255373

William R Mullen is a Surgical Physician Assistant based in Manchester, NH and is specialized in Surgical. William R Mullen practices in Manchester, NH and has the professional credentials of PA-C. The NPI Number for William R Mullen is 1144255373 and holds a License No. 0507 (New Hampshire).

The current practice location address for William R Mullen is 718 Smyth Rd, Manchester, NH and can be reached out via phone at 603-624-4366.

Location: 718 Smyth Rd, Manchester, NH, 03104-4098
person
Provider Profile Details
NPI Number
1144255373
Provider Name
William R Mullen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
718 Smyth Rd, Manchester, NH, 03104-4098
Phone Number
603-624-4366
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861558645 01 NH NSC PROVIDER LOCATION #
1932256914 01 NH NSC PROVIDER LOCATION #
1841320207 01 NH NSC PROVIDER LOCATION #
1922164797 01 NH NSC PROVIDER LOCATION #
1881772242 01 NH NSC PROVIDER LOCATION #
30333016 05 NH
1801952692 01 NSC PROVIDER LOCATION #
institution
Provider Business Practice Location Address Details
Address
718 Smyth Rd
City
State
Zip
03104-4098
Phone Number
603-624-4366
Fax Number
person
Provider Business Mailing Address Details
Address
718 Smyth Rd
City
State
Zip
03104-4098
Phone Number
603-624-4366
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0507 (New Hampshire)
Definition
Definition to come...
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