Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY O'SULLIVAN
ActiveTIMOTHY O'SULLIVAN is a Sports Medicine (PM&R) healthcare provider located in WAYNE, New Jersey. NPI 1912430687 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WAYNE, NJ
Registration Details
- NPI Number
- 1912430687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2017 (9.3894418771592 yrs)
- Last Updated
- Jul 25, 2022
- License
-
25MA11147600 (NJ)
Practice Information
- Address
-
330 RATZER RD STE B7WAYNE, NJ, 074707704Browse NJ providers · Browse ZIP 07470
- Phone
- 9733170155
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in WAYNE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. MONTE A HABER | M.D. | 1669567202 |
| RAJENDRA V RAM | PT | 1275603391 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.