Healthcare Provider Details

I. General information

NPI: 1164042842
Provider Name (Legal Business Name): ALISON CULLIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 06/27/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST
DOVER DE
19901-3530
US

IV. Provider business mailing address

8230 WOODS EDGE CIR
MILFORD DE
19963-4803
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7121
  • Fax:
Mailing address:
  • Phone: 520-310-9119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC2-0024794
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: