THOMAS SULLIVAN, M.D.

Family Medicine

Active Individual
NPI: 1295742419

Practice Address

12018 SUNRISE VALLEY DR
SUITE 400
Reston, VA 20191

Phone: (571) 262-5200

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 0101043001 (VA)
Family Medicine - Hospice and Palliative Medicine 207QH0002X No 0101043001 (VA)

Frequently Asked Questions

NPI 1295742419 is the National Provider Identifier for THOMAS SULLIVAN, M.D., a Family Medicine provider located in Reston, VA. This NPI was enumerated on August 1, 2006.
THOMAS SULLIVAN, M.D. practices at 12018 SUNRISE VALLEY DR, SUITE 400, Reston, VA 20191.

Quick Facts

NPI
1295742419
Type
Individual
Enumerated
Aug 1, 2006
Last Updated
Mar 21, 2011

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