| John R. Mulvey M.d., P.a. | |
|
104 W Main St Elkton MD 21921-5509 | |
| (410) 996-8990 | |
| (410) 996-8912 |
| Full Name | John R. Mulvey M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 104 W Main St, Elkton, Maryland |
| Authorized Official Name and Position | Cindy S Mulvey (OFFICE MANAGER) |
| Authorized Official Contact | 4109968990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John R. Mulvey M.d., P.a. 104 W Main St Elkton MD 21921-5509 Ph: (410) 996-8990 | John R. Mulvey M.d., P.a. 104 W Main St Elkton MD 21921-5509 Ph: (410) 996-8990 |
| NPI Number | 1093729493 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5092709535 |
|---|---|
| Medicare Enrollment ID | O20040408001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093729493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0045155 (Maryland) | Primary |
| Provider Name | John Mulvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902863509 PECOS PAC ID: 5698724987 Enrollment ID: I20100414000329 |
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