| Doctor Name: | MS. MARY MARGARET CULLEN-DRILL |
| NPI Number: | 1851358212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN, C |
| License Number: | 26NC07979500 |
| Business Practice Address: | 51 Upper Montclair Plz Suite 21 Upper Montclair, NJ - 070431343 |
| Business Phone Number: | 9734778628 |
| Business Fax Number: | 9737447163 |
| Mailing Address: | 48 Edgemont Rd, MONTCLAIR |
| State: | NJ |
| Postal Code: | 070422305 |
| Phone Number: | 9737445133 |
| Fax Number: | 9737447163 |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 26NC07979500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |