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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