Provider Demographics
NPI:1235110396
Name:CRAIG-MULLER, JULIA A (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:CRAIG-MULLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NORTH ST STE 221
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5133
Mailing Address - Country:US
Mailing Address - Phone:508-862-7777
Mailing Address - Fax:
Practice Address - Street 1:5 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3464
Practice Address - Country:US
Practice Address - Phone:508-778-4777
Practice Address - Fax:508-771-9555
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
141075OtherU CARE
1462252OtherARAZ GROUP AMERICAS PPO
0107571OtherMEDICA HEALTH PLANS
1028917OtherPREFERRED ONE
HP34112OtherHEALTH PARTNERS
2114049OtherFIRST HEALTH PLAN
MN42305OtherLICENSE NUMBER
58F06CROtherBLUE CROSS BLUE SHIELD
448980200OtherMEDICAL ASSISTANCE
448980200OtherMEDICAL ASSISTANCE
1028917OtherPREFERRED ONE
HP34112OtherHEALTH PARTNERS
H48280Medicare UPIN