Individual
JOSEPH E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE FL 8, BOX 0348, SAN FRANCISCO, CA 94143-2202
(415) 353-2437
(415) 353-2837
Mailing address
400 PARNASSUS AVE FL 8, BOX 0348, SAN FRANCISCO, CA 94143-2202
(415) 353-2437
(415) 353-2837
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A99923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006963
—
NJ
05
—
001965161
—
PA
Enumeration date
07/20/2006
Last updated
11/26/2007
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