Individual
DR. TIMOTHY P SULLIVAN
Active
Individual
DR. TIMOTHY P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05297600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004259606
AETNA
TX
01
—
0136332000
AMERIHEALTH
PA
01
—
0K2236
HEALTHNET
KY
01
—
15240
UNIVERSITY HEALTH PLANS
NJ
01
—
7731618
CIGNA
PA
01
—
IS471
OXFORD
CT
Enumeration date
10/04/2005
Last updated
02/05/2020
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