Individual
DR. NEIL MICHAEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 KEMPSVILLE RD STE 103B, NORFOLK, VA 23502-3927
(757) 261-0200
(757) 261-0201
Mailing address
844 KEMPSVILLE RD STE 103B, NORFOLK, VA 23502-3927
(757) 261-0200
(757) 261-0201
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101057020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005811147
—
VA
Enumeration date
02/22/2006
Last updated
06/13/2024
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