Individual
JOHN M. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S MARKET ST, SUITE B, MECHANICSBURG, PA 17055-4748
(717) 697-5050
(717) 591-0920
Mailing address
1001 S MARKET ST, SUITE B, MECHANICSBURG, PA 17055-4748
(717) 697-5050
(717) 591-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD018511-E
PA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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