Justin Micheal Sullivan, PA-C
NPI #1821634239 in Stratford, New Jersey
Provider Information
- NPI Number
- 1821634239
- Entity Type
- Individual
- Name
- Justin Micheal Sullivan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Feb 11, 2020
Practice Location
- Address
- 205 E LAUREL RD
- City
- Stratford
- State
- New Jersey
- ZIP Code
- 08084-1301
- Phone
- (856) 344-2315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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