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1225196652
BENJAMIN ALEXANDER SULLIVAN
BALTIMORE, MD
NPI
1225196652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003370)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- BENJAMIN ALEXANDER SULLIVAN P.A.-C
900 CATON AVENUE
BALTIMORE, MD 21229
Phone number: 410-368-2514
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Mailing Address
-- BENJAMIN ALEXANDER SULLIVAN P.A.-C
P.O. BOX 21182
BALTIMORE, MD 21228
Phone number: 410-368-8640
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