Individual
HANNAH CATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
Mailing address
910 MADISON AVE, MEMPHIS, TN 38103-3403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD490210
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9735778533437
MUTUAL HEALTH SERVICES
OH
Enumeration date
04/26/2021
Last updated
06/19/2025
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