Individual
DR. SUSAN GOLDA OSULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 COX ROAD, SUITE 100, GLEN ALLEN, VA 23060
(804) 346-1747
(804) 346-1704
Mailing address
4900 COX ROAD, SUITE 100, GLEN ALLEN, VA 23060
(804) 346-1747
(804) 346-1704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101054411
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06703
MEDICARE GROUP
VA
Enumeration date
01/20/2006
Last updated
11/01/2011
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