Brendan L Sullivan, MD

NPI #1780643908 in Lorton, Virginia

Provider Information

NPI Number: 1780643908
Entity Type: Individual
Name: Brendan L Sullivan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 18, 2006
Last Updated: Jan 28, 2011

Practice Location

Address: 9010 LORTON STATION BLVD
Address 2: SUITE 100
City: Lorton
State: Virginia
ZIP Code: 22079-4792
Phone: (703) 436-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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