Individual
MR. RICHARD TERENCE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APN,C
Contact information
Practice address
111 CENTRAL AVE, CARDIAC CATH LAB, NEWARK, NJ 07102-1909
(973) 877-5153
(973) 877-2904
Mailing address
12 SUMMIT RD, OAK RIDGE, NJ 07438-9529
(973) 208-9896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00071300
NJ
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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