person
Madison Alyse Sullivan, DMD
Student in an Organized Health Care Education/Training Program in Pittsburgh, Pennsylvania
NPI 1518723204

Madison Alyse Sullivan is a Student in an Organized Health Care Education/Training Program based in Pittsburgh, PA. Madison Alyse Sullivan practices in Pittsburgh, PA and has the professional credentials of DMD. The NPI Number for Madison Alyse Sullivan is 1518723204 and holds a License No. (Pennsylvania).

The current practice location address for Madison Alyse Sullivan is 4401 Penn Ave, Pittsburgh, PA and can be reached out via phone at 412-692-7831 and via fax at 412-692-7426.

Location: 4401 Penn Ave, Pittsburgh, PA, 15213
person
Provider Profile Details
NPI Number
1518723204
Provider Name
Madison Alyse Sullivan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4401 Penn Ave, Pittsburgh, PA, 15213
Phone Number
412-692-7831
Fax Number
412-692-7426
Provider Enumeration Date
02/21/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4401 Penn Ave
City
State
Zip
15224
Phone Number
412-692-7831
Fax Number
412-692-7426
person
Provider Business Mailing Address Details
Address
4401 Penn Ave
City
State
Zip
15224
Phone Number
412-692-7831
Fax Number
412-692-7426
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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