Mulligan, David C

Mulligan, David C is an individual health care provider with primary practice located at 333 Cedar St Fmb 121, New Haven CT 06510-3206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Mulligan, David C can be contacted via phone (203) 737-2804.

Contact Information

Primary practice address
333 Cedar St Fmb 121 New Haven CT 06510-3206
Fax: (203) 785-7162
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 26494 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 26494 Arizona
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 54296 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 54296 Connecticut

Profile Details

NPI number 1487639449
LBN Legal business name Mulligan, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Feb 18th, 2014 - about 10 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 1487639449 NPPES
Arizona MEDICAID 429755
Arizona Other 86080015085259A462
Arizona Other 020038526

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