Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Joseph Mulligan, PA

Individual provider Physician Assistant · NPI 1174171433

Nicholas Joseph Mulligan, PA is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Connecticut and Massachusetts.

Licensed in
CT, MA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Ave, Farmington, CT 06030-0002 — (860) 679-4450

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8501 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 004634 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174171433
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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