person
Paul Edward Sullivan, DPM
Foot Surgery Podiatrist in Marlton, New Jersey
NPI 1417953647

Paul Edward Sullivan is a Foot Surgery Podiatrist based in Philadelphia, NJ and is specialized in Foot Surgery. Paul Edward Sullivan practices in Marlton, NJ and has the professional credentials of DPM. The NPI Number for Paul Edward Sullivan is 1417953647 and holds a License No. SC003899L (New Jersey).

The current practice location address for Paul Edward Sullivan is 999 Route 73 N Ste 401, Marlton, NJ and can be reached out via phone at 800-321-9999 and via fax at 267-479-1321. You can also correspond with Paul Edward Sullivan through the mailing address at 833 CHESTNUT ST STE 520, PHILADELPHIA, PA - 19107-4430 (mailing address contact number: 800-321-9999).

Location: 999 Route 73 N Ste 401, Marlton, NJ, 19107-4430
person
Provider Profile Details
NPI Number
1417953647
Provider Name
Paul Edward Sullivan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
999 Route 73 N Ste 401, Marlton, NJ, 19107-4430
Phone Number
800-321-9999
Fax Number
267-479-1321
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8925704 05 NJ
institution
Provider Business Practice Location Address Details
Address
999 Route 73 N Ste 401
City
State
Zip
08053-1227
Phone Number
800-321-9999
Fax Number
267-479-1321
person
Provider Business Mailing Address Details
Address
833 Chestnut St Ste 520
City
State
Zip
19107-4430
Phone Number
800-321-9999
Fax Number
267-339-3761
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD00267000 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
SC003899L (Pennsylvania)
Definition
Definition to come...
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