Individual
MRS. EMILY MARIANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
636 LINCOLN BLVD, WESTWOOD, NJ 07675-3433
(551) 404-4854
Mailing address
636 LINCOLN BLVD, WESTWOOD, NJ 07675-3433
(551) 404-4854
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
225649
NJ
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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