Individual provider · Type 1 NPI
Jonathon C. Sullum, MD
Diagnostic Radiology Physician · Scranton, PA
NPI number
1225041536
Active
Practice location
2601 Stafford Avenue
Scranton, PA 18505-0305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | MD020198E (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1225041536
Jonathon C. Sullum, MD's National Provider Identifier is 1225041536, issued on Aug 15, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Scranton, PA. The record was last updated on Jul 9, 2007.