Flynn, Sean A

Flynn, Sean A is an sole proprietor health care provider with primary practice located at 299 Glenwood Ave 2Nd Floor, Suite 6, Bloomfield NJ 07003-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Flynn, Sean A can be contacted via phone (973) 743-5639.

Contact Information

Primary practice address
299 Glenwood Ave 2Nd Floor, Suite 6 Bloomfield NJ 07003-2445
Fax: (973) 743-5840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08466000 New Jersey

Profile Details

NPI number 1154576049
LBN Legal business name Flynn, Sean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2008
Last updated Aug 23rd, 2013 - about 12 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 1154576049 NPPES
New Jersey MEDICAID 0182524

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