Individual
MARTIN JAMES O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 214-1023
Mailing address
8 HUNTINGDON PIKE FL 3, ROCKLEDGE, PA 19046-4338
(215) 214-1405
(215) 214-1023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD429282
PA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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