Individual
DEVIN MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 1250, NEWARK, DE 19713-2076
(302) 623-0200
(302) 623-0117
Mailing address
4735 OGLETOWN STANTON RD STE 1250, NEWARK, DE 19713-2076
(302) 623-0200
(302) 623-0117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0024521
DE
208000000X
Pediatrics Physician
C2-0024521
DE
Other
Enumeration date
04/15/2020
Last updated
06/25/2024
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