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Contact Information

THOMAS S SULLIVAN, MD
12018 SUNRISE VALLEY DR
SUITE 400
RESTON, VA20191-3432
 Phone: 571-262-5200
 Fax: 571-521-7249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS S SULLIVAN · (Male)

NPI Number 1295742419
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 03/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101043001
  • VA Medicaid 010051185
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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