Justin M Sullivan, PA-C
Physician Assistant in Stratford, New Jersey
1821634239- Practice location
- 205 E Laurel RD, Stratford, NJ 08084-1301
- Phone
- 856-344-2315
- Fax
- —
- Last updated
- February 11, 2020
Justin Micheal Sullivan is a Physician Assistant based in Stratford, NJ. Justin Micheal Sullivan practices in Stratford, NJ and has the professional credentials of PA-C. The NPI Number for Justin Micheal Sullivan is 1821634239 and holds a License No. 25MP00553600 (NJ). The current practice location address for Justin Micheal Sullivan is 205 E Laurel RD, Stratford, NJ 08084-1301 and can be reached out via phone at 856-344-2315.
Provider Profile Details
- NPI Number
- 1821634239
- Provider Name
- Justin Micheal Sullivan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 205 E Laurel RD, Stratford, NJ 08084-1301
- Phone Number
- 856-344-2315
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 20, 2019
- Last Update Date
- February 11, 2020
- Certification Date
- February 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 E Laurel RD
Stratford, NJ 08084-1301 - City
- Stratford
- State
- New Jersey
- Zip
- 08084-1301
- Phone Number
- 856-344-2315
Provider Business Mailing Address Details
- Address
- 205 E Laurel RD
Stratford, NJ 08084-1301 - City
- Stratford
- State
- NJ
- Zip
- 08084-1301
- Phone Number
- 844-542-2273
License Information
- License Number
- 25MP00553600
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Justin M Sullivan, PA-C?
The NPI number of Justin M Sullivan, PA-C is 1821634239. It was assigned on November 20, 2019 and is currently active in the NPPES registry.
What is the specialty of Justin M Sullivan, PA-C?
Justin M Sullivan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00553600.
Where does Justin M Sullivan, PA-C practice?
The practice location is 205 E Laurel RD, Stratford, NJ 08084-1301. The office can be reached at 856-344-2315 (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 1821634239 directly on the NPPES registry website.