MR. Matthew Mccullough, CRNA
NPI #1629135538 in Somerset, New Jersey
Provider Information
- NPI Number
- 1629135538
- Entity Type
- Individual
- Name
- MR. Matthew Mccullough, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jan 7, 2017
Practice Location
- Address
- 285 DAVIDSON AVE
- Address 2
- SUITE 204
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-4153
- Phone
- (732) 271-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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