Sullivan, Edwin J
Sullivan, Edwin J is an individual health care provider with primary practice located at 449 B Market St Suite B, Saddle Brook NJ 07663-8941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sullivan, Edwin J can be contacted via phone (201) 843-7942.Contact Information
Primary practice address
449 B Market St Suite B
Saddle Brook NJ 07663-8941
Phone: (201) 843-7942
Fax: (201) 712-7902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MB25068 | New Jersey |
Profile Details
| NPI number | 1477580306 |
|---|---|
| LBN Legal business name | Sullivan, Edwin J |
| Credentials | DO FACOS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477580306 | NPPES |
| New Jersey | MEDICAID | 1464906 |
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