Individual
DR. THEODORE ROBERT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 19001-3714
(215) 887-3990
(215) 887-1140
Mailing address
1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 19001-3714
(215) 887-3990
(215) 887-1140
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD041868L
PA
Other
Enumeration date
09/27/2005
Last updated
06/16/2010
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