Jeremiah O Sullivan MD PC

NPI #1023338118 in Buffalo, New York

Provider Information

NPI Number: 1023338118
Entity Type: Organization
Organization Name: Jeremiah O Sullivan MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 11, 2010
Last Updated: Aug 19, 2010

Practice Location

Address: 2218 MAIN ST
City: Buffalo
State: New York
ZIP Code: 14214-2635
Phone: (716) 834-4141

Authorized Official

Name: DR. JEREMIAH O SULLIVAN, MD
Title: PHYSICIAN
Phone: (716) 834-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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