MARK C SULLIVAN, PA-C, Surgical PORTSMOUTH, NH

Contact Information

MARK C SULLIVAN, PA-C

333 BORTHWICK AVENUE
SUITE 402
PORTSMOUTH, NH 03801

Phone: 603-559-4111
Fax: 603-663-6822
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MARK C SULLIVAN · (Male)

NPI Number	`1225075328`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	05/31/2006
Last updated	10/04/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	ME License # PA 880 NH License # 0238P NH Medicaid 3076816
Hospital affiliation(s)	PORTSMOUTH REGIONAL HOSPITAL - (Acute Care) 333 BORTHWICK AVE PORTSMOUTH, NH 03801

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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MARK C SULLIVAN, PA-C – NPI #1225075328Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MARK C SULLIVAN · (Male)

Reviews for MARK C SULLIVAN

MARK C SULLIVAN, PA-C – NPI #1225075328
Surgical