Sullivan, Edwin J

Sullivan, Edwin J is an individual health care provider with primary practice located at 449 B Market St Suite B, Saddle Brook NJ 07663-8941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sullivan, Edwin J can be contacted via phone (201) 843-7942.

Contact Information

Primary practice address
449 B Market St Suite B Saddle Brook NJ 07663-8941
Phone: (201) 843-7942
Fax: (201) 712-7902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MB25068 New Jersey

Profile Details

NPI number 1477580306
LBN Legal business name Sullivan, Edwin J
Credentials DO FACOS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477580306 NPPES
New Jersey MEDICAID 1464906

Popular Providers