Individual
JUSTINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.F.A.
Contact information
Practice address
13 ELM DR, MEDFORD, NJ 08055-8840
(973) 957-0548
(866) 395-0888
Mailing address
13 ELM DR, MEDFORD, NJ 08055-8840
(973) 957-0548
(866) 395-0888
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO05331500
NJ
Other
Enumeration date
10/10/2006
Last updated
02/01/2017
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