John L Sullivan, PAC

NPI #1548249477 in Dover, Delaware

Provider Information

NPI Number: 1548249477
Entity Type: Individual
Name: John L Sullivan, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jan 10, 2006
Last Updated: Aug 7, 2014

Practice Location

Address: 540 S GOVERNORS AVE
Address 2: SUITE 101A
City: Dover
State: Delaware
ZIP Code: 19904-3530
Phone: (302) 744-7980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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