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Organization
JEREMIAH O SULLIVAN MD PC
Active
Organization
JEREMIAH O SULLIVAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH O SULLIVAN MD (PHYSICIAN)
(716) 834-4141
Entity
Organization
Contact information
Practice address
2218 MAIN ST, BUFFALO, NY 14214-2635
(716) 834-4141
(716) 838-5840
Mailing address
2218 MAIN ST, BUFFALO, NY 14214-2635
(716) 834-4141
(716) 838-5840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100021
NY
Other
Enumeration date
06/11/2010
Last updated
08/19/2010
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