Active NPIIndividual provider

Sean D Sullivan, DO

Internal Medicine in East Orange, New Jersey

NPI Number1407146699
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
—
Last updated
February 4, 2016

Sean Dominick Sullivan is an Internal Medicine based in East Orange, NJ. Sean Dominick Sullivan practices in East Orange, NJ and has the professional credentials of DO. The NPI Number for Sean Dominick Sullivan is 1407146699 and holds a License No. 25MN09491400 (NJ). The current practice location address for Sean Dominick Sullivan is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1407146699
Provider Name
Sean Dominick Sullivan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2011
Last Update Date
February 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
City
East Orange
State
NJ
Zip
07018-1023
Phone Number
973-676-1000

License Information

License Number
25MN09491400
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sean D Sullivan, DO?

The NPI number of Sean D Sullivan, DO is 1407146699. It was assigned on April 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Sean D Sullivan, DO?

Sean D Sullivan, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MN09491400.

Where does Sean D Sullivan, DO practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407146699 directly on the NPPES registry website.

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