Individual
MARK FORD SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2445 ARMY NAVY DR STE 400, ARLINGTON, VA 22206-2988
(703) 379-8879
(703) 998-6821
Mailing address
2445 ARMY NAVY DR STE 400, ARLINGTON, VA 22206-2988
(703) 379-8879
(703) 998-6821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264845
VA
207R00000X
Internal Medicine Physician
291511-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
03/06/2025
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