Individual provider · Type 1 NPI

Brian Scott Sullivan, DPM

Foot & Ankle Surgery Podiatrist · Springfield, NJ

NPI number 1265469209 Active

Practice location

100 Morris Ave, Ste 304
Springfield, NJ 07081-1427

Fax (973) 258-0123

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X25MD00275100 (NJ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1265469209

Brian Scott Sullivan, DPM's National Provider Identifier is 1265469209, issued on Jun 26, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Springfield, NJ. The record was last updated on Dec 2, 2019.