Individual provider · Type 1 NPI
Timothy J. Sullivan
Student in an Organized Health Care Education/Training Program · Emerson, NJ
NPI number
1235989096
Active
Practice location
25 Hollywood Ave
Emerson, NJ 07630-1709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1235989096
Timothy J. Sullivan's National Provider Identifier is 1235989096, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Emerson, NJ. The record was last updated on Mar 25, 2024.