Sullivan, Timothy P

Sullivan, Timothy P is an individual health care provider with primary practice located at 131 Madison Ave Ste 130 , Morristown NJ 07960-7360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sullivan, Timothy P can be contacted via phone (973) 267-1113.

Contact Information

Primary practice address
131 Madison Ave Ste 130 Morristown NJ 07960-7360
Phone: (973) 267-1113
Fax: (973) 267-0719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA05297600 New Jersey

Profile Details

NPI number 1417944562
LBN Legal business name Sullivan, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 5th, 2020 - about 6 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 1417944562 NPPES
Pennsylvania Other 0136332000 AMERIHEALTH
Pennsylvania Other 0K2236 AMERIHEALTH
Pennsylvania Other 15240 AMERIHEALTH
Pennsylvania Other 0004259606 AMERIHEALTH
Pennsylvania Other 7731618 AMERIHEALTH
Pennsylvania Other IS471 AMERIHEALTH

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