Individual
ANASTASSIA D. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2000
Mailing address
450 7TH ST, HOBOKEN, NJ 07030-2057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BC60669096
WA
Other
Enumeration date
10/03/2014
Last updated
08/23/2016
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