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Timothy J Sullivan
Student in an Organized Health Care Education/Training Program in Emerson, New Jersey
NPI 1235989096

Timothy J Sullivan is a Student in an Organized Health Care Education/Training Program based in Emerson, NJ. Timothy J Sullivan practices in Emerson, NJ. The NPI Number for Timothy J Sullivan is 1235989096 and holds a License No. (New Jersey).

The current practice location address for Timothy J Sullivan is 25 Hollywood Ave, Emerson, NJ and can be reached out via phone at 201-245-7109.

Location: 25 Hollywood Ave, Emerson, NJ, 07630-1709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235989096
Provider Name
Timothy J Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Hollywood Ave, Emerson, NJ, 07630-1709
Phone Number
201-245-7109
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
25 Hollywood Ave
City
Emerson
State
New Jersey
Zip
07630-1709
Phone Number
201-245-7109
Fax Number
person
Provider Business Mailing Address Details
Address
25 Hollywood Ave
City
Emerson
State
New Jersey
Zip
07630-1709
Phone Number
201-245-7109
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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