Individual
ANTHONY WELFORD SULLIVAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
Mailing address
400 50TH ST SE APT 201, WASHINGTON, DC 20019-6018
(202) 413-9732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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