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Individual

DR. JULIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
100 EAST LANCASTER AVENUE, MOB EAST STE 361, WYNNEWOOD, PA 19096-3433
(484) 476-8390
(610) 642-6808
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS025070
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT019595
PA

Other

Enumeration date
06/28/2019
Last updated
06/30/2025
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