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NPI Code Detail

MEDICARE: JOSEPH MULLEN

MEDICARE: JOSEPH MULLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMT236990PA

General Provider Information

NPI Number : 1104759414
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MULLEN
Provider Business Mailing Address
First Line : 1000 BOWER HILL RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-942-6270
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BOWER HILL RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-942-6270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ JOSEPH MULLEN ” Practice Location

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