Maureen Sullivan in Woodbury - Physician Assistant

Maureen Sullivan - NPI 1033144019

Maureen Sullivan is a Physician Assistant in Woodbury, New Jersey. Maureen Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maureen Sullivan is 1033144019. The last update date is 2014-11-20.

Maureen Sullivan's current location address is 17 W Red Bank Ave, Woodbury, New Jersey. You can contact this provider via phone number 8568450664 and fax number 8568457602. The mailing address for Maureen Sullivan is 17 W Red Bank Ave, Woodbury, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Maureen Sullivan
Address 17 W Red Bank Ave, Woodbury, New Jersey
Phone Number 8568450664
Fax Number 8568457602
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1033144019
Provider Enumeration Date 2006-07-11
Last Updated Date 2014-11-20

Provider Mailing Address Detail

Address 17 W Red Bank Ave
City Woodbury
State New Jersey (NJ)
Post Code 80961630
Phone Number 8568450664
Fax Number 8568457602

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP000245
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MA003234L PA MEDICAL LICENSE
25MP000245 NJ LICENSE

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FAQs about Maureen Sullivan

What is the Maureen Sullivan's 1033144019?

The Maureen Sullivan's NPI (National Provider Identifier) Number is 1033144019. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Maureen Sullivan's facilities are situated?

The facilities of Maureen Sullivan are physically located at the following address: 17 W Red Bank Ave, Woodbury, NJ, 80961630.

What is the area of specialization for Maureen Sullivan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Maureen Sullivan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033144019 to Maureen Sullivan?

The Centers for Medicare & Medicaid Services assigned the 1033144019 to Maureen Sullivan on 2006-07-11.

When was the Maureen Sullivan's information last updated?

The Maureen Sullivan's information was last updated on 2014-11-20.

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