Joseph Charles Sullivan, MD
Internal Medicine in Syracuse, NY. Individual provider (NPI-1).
NPI number1942903349
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1942903349
- Entity type
- Individual (NPI-1)
- Name
- Joseph Charles Sullivan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2023
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 332177 | NY | Yes |
Practice location
750 E Adams StSyracuse, NY 13210-1834
Phone 315-464-5240 · Fax 315-464-3751
Mailing address
750 E Adams StSyracuse, NY 13210-2306
Phone 315-464-5240 · Fax 315-464-3751
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