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Contact Information

MARK R CULLEN, MD
251 CAMPUS DR
MSOB X338
STANFORD, CA94305-5101
 Phone: 650-721-6209
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MARK R CULLEN · (Male)

NPI # 1215919956
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2005
Last updated 05/14/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 020060
  • CT Medicaid 001200609
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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