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Individual

BRIAN SCOTT SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
100 MORRIS AVE, STE 304, SPRINGFIELD, NJ 07081-1427
(973) 258-0111
(973) 258-0123
Mailing address
100 MORRIS AVE, STE 304, SPRINGFIELD, NJ 07081-1427
(973) 258-0111
(973) 258-0122

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00275100
NJ

Other

Enumeration date
06/26/2006
Last updated
12/02/2019
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