Individual
DANIEL S SULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 N 6TH ST, READING, PA 19601-3501
(610) 208-8860
Mailing address
145 N 6TH ST, READING, PA 19601-3501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD025711E
PA
Other
Enumeration date
06/07/2006
Last updated
12/03/2007
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