Individual
DR. TIMOTHY P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 MADISON AVE STE 130, MORRISTOWN, NJ 07960-7360
(973) 267-1113
(973) 267-0719
Mailing address
131 MADISON AVE STE 130, MORRISTOWN, NJ 07960-7360
(973) 267-1113
(973) 267-0719
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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