# PATRICIA M. SULLIVAN, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053585661
- **Authorized official:** PATRICIA M SULLIVAN M.D. (PRESIDENT)
- **Authorized official phone:** (240) 535-8968

## Contact information

- **Practice address:** 10796 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
- **Practice address phone:** (240) 535-8968
- **Mailing address:** 10796 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
- **Mailing address phone:** (240) 535-8968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0055226 | MD | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008