Individual
VICTORIA SULLIVAN-BUZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
605 ROSETO AVE, ROSETO, PA 18013-1105
(917) 742-2659
Mailing address
605 ROSETO AVE, ROSETO, PA 18013-1105
(917) 742-2659
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11111419
PA
Other
Enumeration date
04/17/2015
Last updated
04/24/2025
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