Breanne Sullivan

NPI #1124784053 in Dumont, New Jersey

Provider Information

NPI Number: 1124784053
Entity Type: Individual
Name: Breanne Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 42 DUNN PL
City: Dumont
State: New Jersey
ZIP Code: 07628-3220
Phone: (201) 575-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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