Individual
DR. DANIEL PETER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
58 MOUNT BETHEL RD, STE 202, WARREN, NJ 07059-2654
(908) 222-7922
(908) 222-7923
Mailing address
58 MOUNT BETHEL RD, STE 202, WARREN, NJ 07059-2654
(908) 222-7922
(908) 222-7923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02036700
NJ
Other
Enumeration date
09/16/2006
Last updated
11/03/2015
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