Individual
ANDREW L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 TOWNSHIP LINE RD, SUITE 200, YARDLEY, PA 19067-5552
(215) 493-5535
(215) 493-0810
Mailing address
777 TOWNSHIP LINE RD, SUITE 200, YARDLEY, PA 19067-5552
(215) 493-5535
(215) 493-0810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420888
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019456230001
—
PA
Enumeration date
06/27/2006
Last updated
10/16/2012
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