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NPI Code Detail

MEDICARE: DR. DENNIS CONOR CULLEN M.D.

MEDICARE:  DR. DENNIS CONOR CULLEN  M.D.
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
1207Q00000XFamily Medicine PhysicianMD467889PA
2207Q00000XFamily Medicine PhysicianD89581MD

General Provider Information

NPI Number : 1982157764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS CONOR CULLEN M.D.
Provider Business Mailing Address
First Line : 7625 WISCONSIN AVE.
Second Line : SUITE 101
City : BETHESDA
State : MD
Zip : 20814-6564
Country : US
Telephone Number : 240-497-1570
Fax Number : 301-657-5638
Provider Business Practice Location Address
First Line : 7625 WISCONSIN AVE.
Second Line : SUITE 101
City : BETHESDA
State : MD
Zip : 20814-6564
Country : US
Telephone Number : 240-497-1570
Fax Number : 301-657-5638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 05/08/2021

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Directions to “ DR. DENNIS CONOR CULLEN M.D.” Practice Location

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