Sullivan, Gail T

Sullivan, Gail T is an individual health care provider with primary practice located at 9331 Old Bustleton Ave Suite 203, Philadelphia PA 19115-4204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Sullivan, Gail T can be contacted via phone (215) 602-8900.

Contact Information

Primary practice address
9331 Old Bustleton Ave Suite 203 Philadelphia PA 19115-4204
Phone: (215) 602-8900
Fax: (215) 602-8904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD054949L Pennsylvania
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD-054949-L Pennsylvania

Profile Details

NPI number 1245247501
LBN Legal business name Sullivan, Gail T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 23rd, 2013 - about 13 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 1245247501 NPPES
Pennsylvania Other 1007278000 TPI MEDICAID GROUP
Pennsylvania Other 597586 TPI MEDICAID GROUP
Pennsylvania MEDICAID 001534913 TPI MEDICAID GROUP
Pennsylvania Other CD4829 TPI MEDICAID GROUP

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