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Individual

JAMES J. SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1850 NORMANDIE DRIVE, YORK, PA 17408
(717) 650-6690
(717) 650-2703
Mailing address
1850 NORMANDIE DRIVE, YORK, PA 17408
(717) 650-6690
(717) 650-2703

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
05007411E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250007330
RAIL ROAD MEDICARE
PA
Enumeration date
01/20/2006
Last updated
11/30/2018
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