Individual
BRIAN P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ABBEYVILLE RD, LANCASTER, PA 17603-4603
(717) 291-5991
(717) 291-5806
Mailing address
101 ABBEYVILLE RD, LANCASTER, PA 17603-4603
(717) 291-5991
(717) 291-5806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD423238
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010754010001
—
PA
01
—
107749 S1QD
GEISINGER HEALTH PLAN
PA
01
—
1086443
AETNA HMO
PA
01
—
1622688
HIGHMARK BLUE SHIELD
PA
01
—
50036997
CAPITAL BLUE CROSS
PA
01
—
7996672
AETNA NON-HMO
PA
01
—
I07849
HEALTH ASSURANCE
PA
01
—
P006174
GATEWAY HEALTH PLAN
PA
Enumeration date
10/04/2005
Last updated
08/19/2007
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