Joseph P Mulligan (NPI# 1225045594, PAC ID# 6507842671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1225045594 |
| PAC ID by PECOS | 6507842671 |
| Professional Enrollment ID | I20050315000739 |
| Full Name | Joseph P Mulligan |
| Organization Legal Name | DELAWARE VALLEY MAXILLOFACIAL AND ORAL SURGERY LLC |
| Address |
100 E Lehigh Ave Southeastern Pa Oral Surg Philadelphia PA 19125-1012 |
| Phone Number | 2157073613 |
| Gender | M |
| Credential | DDM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 3072567197 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 E Lehigh Ave, Southeastern Pa Oral Surg, Philadelphia, PA 19125-1012 | 2157073613 | DELAWARE VALLEY MAXILLOFACIAL AND ORAL SURGERY LLC |
| 3401 N Broad St, Philadelphia, PA 19140-5103 | 2157072000 | DELAWARE VALLEY MAXILLOFACIAL AND ORAL SURGERY LLC |
| Organization Legal Name | DELAWARE VALLEY MAXILLOFACIAL AND ORAL SURGERY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer M Abdelsamie | Maxillofacial Surgery | Delaware Valley Maxillofacial and Oral Surgery LLC | 100 E Lehigh Ave, Southeastern Pa Oral Surg, Philadelphia, PA 19125-1012 |
| Allen Fred Fielding | Oral Surgery | Delaware Valley Maxillofacial and Oral Surgery LLC | 100 E Lehigh Ave, Southeastern Pa Oral Surg, Philadelphia, PA 19125-1012 |
| Paul Deitrick | Maxillofacial Surgery | Delaware Valley Maxillofacial and Oral Surgery LLC | 100 E Lehigh Ave, Southeastern Pa Oral Surg, Philadelphia, PA 19125-1012 |
| Street Address |
100 E LEHIGH AVE SOUTHEASTERN PA ORAL SURG |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19125-1012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Michael Mcnellis | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Darilyn V Moyer | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Ruby Hassanyeh Barghini | Psychiatry | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Lauren Monaco | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Bizath S Taqui | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Manjari Sharma | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Chaim Tuckman | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Megan E. Healy | Emergency Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| David Berman | Internal Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Nicholas Tyner | Emergency Medicine | Temple Faculty Practice Plan Inc | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjay D Kamat | Ophthalmology | Tus Ojos Inc | 100 E Lehigh Ave, Suite 201 Mab, Philadelphia, PA 19125-0000 |
| Michael Katz | Optometry | Tus Ojos Inc | 100 E Lehigh Ave, Suite 201 Mab, Philadelphia, PA 19125-0000 |
| Garry J Thomas | Ophthalmology | Tus Ojos Inc | 100 E Lehigh Ave, Suite 201 Mab, Philadelphia, PA 19125-0000 |
| Regina Snow | Podiatry | Saji Enterprises PC | 139 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| Ramesh Parchuri | Family Medicine | 161 E Lehigh Ave, Philadelphia, PA 19125-1011 | |
| Uma Kamineni | General Practice | Excel Medical Center | 135 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| Nicholas H Truong | Internal Medicine | 133 E Lehigh Ave, Philadelphia, PA 19125-1011 | |
| Renata Milman | Podiatry | Ali Albert Anaim Dpm PC | 139 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| Zain Chaudhry | Podiatry | Ali Albert Anaim Dpm PC | 139 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| Amir Abbasi | Podiatry | Ali Albert Anaim Dpm PC | 139 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| Find all physicians in zip 19125 | |||
| City | PHILADELPHIA |
| Zip Code | 19125 |
| Specialty | ORAL SURGERY |
| City + Specialty | PHILADELPHIA + ORAL SURGERY |
Please comment or provide details below to improve the information on Joseph P Mulligan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.