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Contact Information

GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A.
1117 ROUTE 46
SUITE 202
CLIFTON, NJ07013-2449
 Phone: 973-779-1221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A.

NPI Number 1215126065
LBN Legal business name GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A.
Authorized official GREGORY SULLIVAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2007
Last updated 10/17/2007 - About 19 years ago
Identifiers
NJ License # 25MA02285700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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