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Organization
OPTUM PALLIATIVE AND HOSPICE CARE
Active
Organization
OPTUM PALLIATIVE AND HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SULLIVAN MD (MEDICAL DIRECTOR)
(571) 262-5700
Entity
Organization
Contact information
Practice address
12018 SUNRISE VALLEY DR, SUITE 400, RESTON, VA 20191-3432
(571) 262-5700
Mailing address
12018 SUNRISE VALLEY DR, SUITE 400, RESTON, VA 20191-3432
(571) 262-5700
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
0024172999
VA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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