Organization
BRENDAN P SULLIVAN MD FACC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN P SULLIVAN MD (PHYSICIAN/OWNER)
(973) 779-5151
Entity
Organization
Contact information
Practice address
265 ACKERMAN AVE, SUITE 203, RIDGEWOOD, NJ 07450-4200
(201) 445-8820
(201) 445-8850
Mailing address
183 LINCOLN AVE, RIDGEWOOD, NJ 07450-4105
(201) 612-7893
(201) 857-8460
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA072777
NJ
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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