Sullivan, Paul Edward

Sullivan, Paul Edward is an individual health care provider with primary practice located at 999 Route 73 N Ste 401 , Marlton NJ 08053-1227. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Sullivan, Paul Edward can be contacted via phone (800) 321-9999.

Contact Information

Primary practice address
999 Route 73 N Ste 401 Marlton NJ 08053-1227
Phone: (800) 321-9999
Fax: (267) 479-1321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC003899L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00267000 New Jersey

Profile Details

NPI number 1417953647
LBN Legal business name Sullivan, Paul Edward
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 28th, 2022 - about 2 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 1417953647 NPPES
New Jersey MEDICAID 8925704

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