Mullally, William J.

Mullally, William J. is an individual health care provider with primary practice located at 111 Grossman Dr Neurology, Braintree MA 02184-4997. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mullally, William J. can be contacted via phone (781) 849-2265.

Contact Information

Primary practice address
111 Grossman Dr Neurology Braintree MA 02184-4997
Phone: (781) 849-2265
Fax: (781) 849-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46261 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 46261 Massachusetts

Profile Details

NPI number 1659463339
LBN Legal business name Mullally, William J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jun 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659463339 NPPES
Massachusetts Other 111404 HARVARD PILGRIM
Massachusetts Other 0014880 HARVARD PILGRIM
Massachusetts MEDICAID 3179591 HARVARD PILGRIM
Massachusetts Other 046261 HARVARD PILGRIM
Massachusetts Other P00086706 HARVARD PILGRIM
Massachusetts Other J12153 HARVARD PILGRIM
Massachusetts Other 7011385-002 HARVARD PILGRIM

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