Individual
JAMES SULLIVAN
Active
Individual
JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-00449
NC
208M00000X
Hospitalist Physician
276980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03914734
—
NY
Enumeration date
04/29/2011
Last updated
03/13/2017
Update your record
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