Individual
JOHN L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
540 S GOVERNORS AVE, SUITE 101A, DOVER, DE 19904-3530
(302) 744-7980
(302) 744-7989
Mailing address
640 S STATE ST, FINANCE, DOVER, DE 19901-3530
(302) 674-4700
(302) 735-3842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000356
DE
Other
Enumeration date
01/10/2006
Last updated
08/07/2014
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