| NPI | 1649376468 |
|---|---|
| Professional Name | DANIEL PETER SULLIVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02036700) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-11-03 |