DR. Stanford Norman Sullum, MD is an obstetrics gynecology in New York, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Stanford Norman Sullum, MD NPI is 1477660165. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1136 5TH AVE
1B
NEW YORK, NY
ZIP 10128
Phone: (212) 876-4630
Fax: (212) 876-3478
The NPI 1477660165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 33D0688346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/8/2007.