Doctor Name: | BRENDAN ALEXANDER MULCAHY |
NPI Number: | 1063843225 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA056530 |
Business Practice Address: | 763 Johnsonburg Road Elk Regional Emergency Department Saint Marys, PA - 158573652 |
Business Phone Number: | 8147888000 |
Business Fax Number: | |
Mailing Address: | 618 N Saint Marys St, SAINT MARYS |
State: | PA |
Postal Code: | 158573652 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA056530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |