Individual
DR. JAY CUMMINGS SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3722 74TH AVENUE CT NW, GIG HARBOR, WA 98335-6446
(253) 682-8002
Mailing address
3722 74TH AVENUE CT NW, GIG HARBOR, WA 98335-6446
(253) 682-8002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CA20A6641
CA
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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