Organization
BURLINGTON MERCER PODIATRY ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E SULLIVAN DPM (OWNER)
(609) 890-6544
Entity
Organization
Contact information
Practice address
226 BARBERRY LN, HADDONFIELD, NJ 08033-2705
(609) 890-6544
(856) 795-0404
Mailing address
2089 KLOCKNER RD, TRENTON, NJ 08690-3416
(609) 890-6544
(856) 795-0404
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00267000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8925704
—
NJ
Enumeration date
05/13/2008
Last updated
10/07/2008
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