Thaddeus Mully in Cambridge - Dermatopathology
Thaddeus Mully - NPI 1174519607
Thaddeus Mully is a Dermatopathology in Cambridge, Massachusetts. Thaddeus Mully practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Thaddeus Mully is 1174519607. The last update date is 2018-07-11.
Thaddeus Mully's current location address is 640 Memorial Dr, Cambridge, Massachusetts. You can contact this provider via phone number 6172526880. The mailing address for Thaddeus Mully is 640 Memorial Dr, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thaddeus Mully |
|---|---|
| Address | 640 Memorial Dr, Cambridge, Massachusetts |
| Phone Number | 6172526880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174519607 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | 640 Memorial Dr |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21394853 |
| Phone Number | 6172526880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Nd0900X |
| Licence No | 221206 |
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Definition: A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul |
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What is the Thaddeus Mully's unique identification number?
The Thaddeus Mully has been assigned the NPI (National Provider Identifier) Number 1174519607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Thaddeus Mully located?
The Thaddeus Mully is located at 640 Memorial Dr, Cambridge, MA 21394853.
What is Thaddeus Mully's area of expertise and its corresponding taxonomy classification?
The Thaddeus Mully's field of specialization is Dermatopathology, and it falls under the taxonomy code 207Nd0900X, which categorizes healthcare providers based on their areas of practice.
On what date did the Thaddeus Mully receive its 1174519607 assignment from the Centers for Medicare & Medicaid Services?
The Thaddeus Mully was assigned its 1174519607 by the Centers for Medicare & Medicaid Services on 2005-09-20.
When was the Thaddeus Mully's information last updated?
The Thaddeus Mully's information was last updated on 2018-07-11.