Individual
DR. STANFORD NORMAN SULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 5TH AVE, 1B, NEW YORK, NY 10128
(212) 876-4630
(212) 876-3478
Mailing address
1136 5TH AVE, 1B, NEW YORK, NY 10128
(212) 876-4630
(212) 876-3478
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
120964
NY
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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