Jerry J. Sullivan, M.D.

NPI #1306998406 in Springfield, Virginia

Provider Information

NPI Number: 1306998406
Entity Type: Individual
Name: Jerry J. Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 17, 2007
Last Updated: Nov 22, 2011

Practice Location

Address: 6501 LOISDALE CT
City: Springfield
State: Virginia
ZIP Code: 22150-1826
Phone: (703) 922-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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