Provider Demographics
NPI:1982157764
Name:CULLEN, DENNIS CONOR (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CONOR
Last Name:CULLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 WISCONSIN AVE.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6564
Mailing Address - Country:US
Mailing Address - Phone:240-497-1570
Mailing Address - Fax:301-657-5638
Practice Address - Street 1:7625 WISCONSIN AVE.
Practice Address - Street 2:SUITE 101
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6564
Practice Address - Country:US
Practice Address - Phone:240-497-1570
Practice Address - Fax:301-657-5638
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467889207Q00000X
MDD89581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine