Provider Demographics
NPI:1508041732
Name:MULHERIN, HEATHER (PA-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MULHERIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LEXINGTON RD BLDG B
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WOOLWICH TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1278
Mailing Address - Country:US
Mailing Address - Phone:856-241-2111
Mailing Address - Fax:856-241-2243
Practice Address - Street 1:300 LEXINGTON RD BLDG B
Practice Address - Street 2:SUITE 200
Practice Address - City:WOOLWICH TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-1278
Practice Address - Country:US
Practice Address - Phone:856-241-2111
Practice Address - Fax:856-241-2243
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057339363A00000X
NJ25MP00369000363A00000X
CT002015363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant