Individual
TIMOTHY ERIC SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3639
(570) 728-2424
(570) 728-2425
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
(717) 431-4310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00271500
NJ
363AM0700X
Medical Physician Assistant
Primary
MA056911
PA
Other
Enumeration date
11/08/2011
Last updated
06/30/2025
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