IndividualActive
Michael Mullen, MD
NPI 1306901533 · Vascular Neurology Physician · Philadelphia, PA
Provider details
- NPI number
- 1306901533
- Entity type
- Individual
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD437409 (PA)
Practice location
3400 Civic Center Blvd
2nd Floor South Pavillion
Philadelphia, PA 19104-5127
Phone: (215) 662-3606
Fax: (215) 349-5579
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2015-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.