Individual
KARMAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5160 PARRISH ST, PHILADELPHIA, PA 19139-1534
(267) 622-7819
Mailing address
5160 PARRISH ST, PHILADELPHIA, PA 19139-1534
(267) 622-7819
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
29333269
PA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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