Individual
DR. MICHAEL COREY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1944 RT 33, SUITE 203, NEPTUNE, NJ 07753
(732) 776-4770
(732) 776-3763
Mailing address
1944 RT 33, SUITE 203, NEPTUNE, NJ 07753
(732) 776-4770
(732) 776-3763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09940100
NJ
Other
Enumeration date
07/03/2008
Last updated
03/26/2018
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