Provider Demographics
NPI:1891958427
Name:MULLEN, AMY J (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:J
Last Name:MULLEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9381
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:185 HOSPITAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-7018
Practice Address - Country:US
Practice Address - Phone:814-623-9039
Practice Address - Fax:814-623-0355
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2015-02-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD439535208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics