| Collin D. Cullen, M.d., Llc | |
|
5410 Connecticut Ave Nw Ste 117 Washington DC 20015-2831 | |
| (301) 502-8702 | |
| Not Available |
| Full Name | Collin D. Cullen, M.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5410 Connecticut Ave Nw Ste 117, Washington, District Of Columbia |
| Authorized Official Name and Position | Collin D. Cullen (PHYSICIAN) |
| Authorized Official Contact | 3015028702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collin D. Cullen, M.d., Llc 5410 Connecticut Ave Nw Ste 117 Washington DC 20015-2831 Ph: (301) 502-8702 | Collin D. Cullen, M.d., Llc 5410 Connecticut Ave Nw Ste 117 Washington DC 20015-2831 Ph: (301) 502-8702 |
| NPI Number | 1952869984 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 6103168810 |
|---|---|
| Medicare Enrollment ID | O20190430000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952869984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Collin D Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689769523 PECOS PAC ID: 0648310680 Enrollment ID: I20110413000635 |
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