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Timothy Eric Sullivan JR., PA-C
Medical Physician Assistant in Pottsville, Pennsylvania
NPI 1295012060

Timothy Eric Sullivan JR. is a Medical Physician Assistant based in Allentown, PA and is specialized in Medical. Timothy Eric Sullivan JR. practices in Pottsville, PA and has the professional credentials of PA-C. The NPI Number for Timothy Eric Sullivan JR. is 1295012060 and holds a License No. 25MP00271500 (Pennsylvania).

The current practice location address for Timothy Eric Sullivan JR. is 106 S Claude A Lord Blvd, Pottsville, PA and can be reached out via phone at 484-884-4500.

Location: 106 S Claude A Lord Blvd, Pottsville, PA, 18103-5622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295012060
Provider Name
Timothy Eric Sullivan JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
106 S Claude A Lord Blvd, Pottsville, PA, 18103-5622
Phone Number
484-884-4500
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
106 S Claude A Lord Blvd
City
Pottsville
State
Pennsylvania
Zip
17901-3639
Phone Number
484-884-4500
Fax Number
person
Provider Business Mailing Address Details
Address
106 S Claude A Lord Blvd
City
Pottsville
State
Pennsylvania
Zip
17901-3639
Phone Number
484-884-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
25MP00271500 (New Jersey)
Definition
Definition to come...
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