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1912430687
TIMOTHY O'SULLIVAN
WAYNE, NJ
NPI
1912430687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NJ 25MA11147600)
Enumeration Date
2017-04-09
Last Update Date
2022-07-25
Business Address
TIMOTHY O'SULLIVAN
330 RATZER RD STE B7
WAYNE, NJ 07470-7704
Phone number: 973-317-0155
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Mailing Address
TIMOTHY O'SULLIVAN
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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