Cullen, Mark Richard
Cullen, Mark Richard is an individual health care provider with primary practice located at 251 Campus Dr Msob X338, Stanford CA 94305-5101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Cullen, Mark Richard can be contacted via phone (650) 721-6209.Contact Information
Primary practice address
251 Campus Dr Msob X338
Stanford CA 94305-5101
Phone: (650) 721-6209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 020060 | Connecticut |
Profile Details
| NPI number | 1215919956 |
|---|---|
| LBN Legal business name | Cullen, Mark Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | May 14th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215919956 | NPPES |
| Connecticut | MEDICAID | 001200609 |
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