Thomas S Sullivan, M.D.

NPI #1295742419 in Reston, Virginia

Provider Information

NPI Number: 1295742419
Entity Type: Individual
Name: Thomas S Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 1, 2006
Last Updated: Mar 21, 2011

Practice Location

Address: 12018 SUNRISE VALLEY DR
Address 2: SUITE 400
City: Reston
State: Virginia
ZIP Code: 20191-3432
Phone: (571) 262-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207QH0002X

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