Individual provider · Type 1 NPI

Richard Terence Sullivan, RN, APN, C

Adult Health Nurse Practitioner · Newark, NJ

NPI number 1720181605 Active

Practice location

111 Central Ave, Cardiac Cath Lab
Newark, NJ 07102-1909

Call (973) 877-5153 Map

Fax (973) 877-2904

Mailing address

12 Summit Rd
Oak Ridge, NJ 07438-9529

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	26NJ00071300 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1720181605

Richard Terence Sullivan, RN, APN, C's National Provider Identifier is 1720181605, issued on Sep 6, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Newark, NJ. The record was last updated on Jul 8, 2007.