Basic Information
| Provider Information | |||||||||
| NPI: | 1235110396 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRAIG-MULLER | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 297 NORTH ST STE 221 | ||||||||
| Address2: | |||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026015133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088627777 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5 INDUSTRIAL DR | ||||||||
| Address2: | |||||||||
| City: | MASHPEE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026493464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087784777 | ||||||||
| FaxNumber: | 5087719555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 06/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 42305 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 141075 | 01 | U CARE | OTHER | 1462252 | 01 | ARAZ GROUP AMERICAS PPO | OTHER | BC6841337 | 01 | DEA | OTHER | 0107571 | 01 | MEDICA HEALTH PLANS | OTHER | 1028917 | 01 | PREFERRED ONE | OTHER | HP34112 | 01 | HEALTH PARTNERS | OTHER | 2114049 | 01 | FIRST HEALTH PLAN | OTHER | 42305 | 01 | MN | LICENSE NUMBER | OTHER | 58F06CR | 01 | BLUE CROSS BLUE SHIELD | OTHER | 448980200 | 01 | MEDICAL ASSISTANCE | OTHER |