Individual
DR. CORNELIUS JOSEPH SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 WEST ST, SUITE 100, ANNAPOLIS, MD 21401-3400
(410) 268-7790
(410) 268-7874
Mailing address
275 WEST ST, SUITE 100, ANNAPOLIS, MD 21401-3400
(410) 268-7790
(410) 268-7874
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10357
MD
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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