Provider Demographics
NPI:1073919825
Name:GULSAN, SEDEF
Entity Type:Individual
Prefix:
First Name:SEDEF
Middle Name:
Last Name:GULSAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WHITE SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19054-3103
Mailing Address - Country:US
Mailing Address - Phone:267-980-9444
Mailing Address - Fax:
Practice Address - Street 1:23 WHITE SPRUCE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19054-3103
Practice Address - Country:US
Practice Address - Phone:267-980-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03676400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist