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Contact Information

GAIL T SULLIVAN, MD
9331 OLD BUSTLETON AVE
SUITE 203
PHILADELPHIA, PA19115-4204
 Phone: 215-602-8900
 Fax: 215-602-8904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GAIL T SULLIVAN · (Female)

NPI Number 1245247501
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 10/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD-054949-L
  • PA License # MD054949L
  • PA Medicaid 001534913
  • PA Other 597586 TPI GROUP MEDICARE
  • PA Other 1007278000 TPI MEDICAID GROUP
  • PA Other CD4829 TPI RAILROAD MEDICARE
Hospital affiliation(s)
  • ALBERT EINSTEIN MEDICAL CENTER - (Acute Care)
    5501 OLD YORK ROAD
    PHILADELPHIA, PA 19141
  • HOLY REDEEMER HOSPITAL AND MEDICAL CENTER - (Acute Care)
    1648 HUNTINGDON PIKE
    MEADOWBROOK, PA 19046
  • NAZARETH HOSPITAL - (Acute Care)
    2601 HOLME AVE
    PHILADELPHIA, PA 19152
  • TEMPLE UNIVERSITY HOSPITAL - (Acute Care)
    3401 NORTH BROAD STREET
    PHILADELPHIA, PA 19140
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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