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Individual

DR. WILLIAM D. SULLIVAN

Active
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Individual

DR. WILLIAM D. SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD027451E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008745270001
PA
01
020102200
BLACK LUNG PROGRAM
PA
05
0650611
PA
01
205046
UPMC HEALTH PLAN
PA
01
251754199
MEDICAL MUTUAL OF OHIO
PA
01
290007406
PALMETTO GBA-RAILROAD MEDICARE
PA
01
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
82392
UNISON HEALTH PLAN
PA
01
902561
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
C30051
HEALTH AMERICA
PA
Enumeration date
05/31/2005
Last updated
02/13/2014
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