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
Phone: (203) 737-2804
Fax: (203) 785-7162
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1487639449 | NPPES |
| Arizona | MEDICAID | 429755 | |
| Arizona | Other | 86080015085259A462 | |
| Arizona | Other | 020038526 |
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