Sullivan, Andrew L

Sullivan, Andrew L is an individual health care provider with primary practice located at 777 Township Line Rd Suite 200, Yardley PA 19067-5552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Andrew L can be contacted via phone (215) 493-5535.

Contact Information

Primary practice address
777 Township Line Rd Suite 200 Yardley PA 19067-5552
Fax: (215) 493-0810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD420888 Pennsylvania

Profile Details

NPI number 1881621720
LBN Legal business name Sullivan, Andrew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881621720 NPPES
Pennsylvania MEDICAID 0019456230001

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