Individual
DR. MARY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 DEL MAR AVE, CHULA VISTA, CA 91910-3908
(619) 427-3355
Mailing address
311 DEL MAR AVE, CHULA VISTA, CA 91910-3908
(619) 427-3355
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
101256883
VA
207W00000X
Ophthalmology Physician
Primary
202020
CA
208D00000X
General Practice Physician
0101256883
VA
Other
Enumeration date
06/24/2013
Last updated
04/03/2025
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