Sullivan, Maureen

Sullivan, Maureen is an individual health care provider with primary practice located at 17 W Red Bank Ave Suite 207, Woodbury NJ 08096-1630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Maureen can be contacted via phone (856) 845-0664.

Contact Information

Primary practice address
17 W Red Bank Ave Suite 207 Woodbury NJ 08096-1630
Phone: (856) 845-0664
Fax: (856) 845-7602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP000245 New Jersey

Profile Details

NPI number 1033144019
LBN Legal business name Sullivan, Maureen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 20th, 2014 - about 10 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 1033144019 NPPES
Pennsylvania Other MA003234L MEDICAL LICENSE
Pennsylvania Other 25MP000245 MEDICAL LICENSE

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