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Gregory R Mullen, MD
Student in an Organized Health Care Education/Training Program in Livingston, New Jersey
NPI 1689105504

Gregory R Mullen is a Student in an Organized Health Care Education/Training Program based in Livingston, NJ. Gregory R Mullen practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Gregory R Mullen is 1689105504 and holds a License No. 25MA11814000 (New Jersey).

The current practice location address for Gregory R Mullen is 200 S Orange Ave Ste 228, Livingston, NJ and can be reached out via phone at 212-241-6500.

Location: 200 S Orange Ave Ste 228, Livingston, NJ, 07039-5817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689105504
Provider Name
Gregory R Mullen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 S Orange Ave Ste 228, Livingston, NJ, 07039-5817
Phone Number
212-241-6500
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 S Orange Ave Ste 228
City
Livingston
State
New Jersey
Zip
07039-5817
Phone Number
212-241-6500
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Orange Ave Ste 228
City
Livingston
State
New Jersey
Zip
07039-5817
Phone Number
212-241-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
312602 (New York)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA11814000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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