Individual
PATRICK O. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6816
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MB08239800
NJ
207P00000X
Emergency Medicine Physician
Primary
OS019674
PA
Other
Enumeration date
05/14/2007
Last updated
11/02/2020
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