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Individual
DR. SUZANNE E. SULLIVAN
Active
Individual
DR. SUZANNE E. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026
CAREFIRST BCBS
DC
01
—
1223835
AETNA HMO
MD
01
—
64441701
CAREFIRST BCBS
MD
01
—
7792782
AETNA PPO
MD
01
—
P00201779
RR MEDICARE
MD
Enumeration date
07/26/2005
Last updated
10/18/2007
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