Organization
THOMAS C. SULLIVAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C. SULLIVAN M.D. (PRESIDENT)
(619) 686-4011
Entity
Organization
Contact information
Practice address
550 WASHINGTON ST, SUITE 821, SAN DIEGO, CA 92103-2213
(619) 686-4011
(619) 686-4041
Mailing address
550 WASHINGTON ST, SUITE 821, SAN DIEGO, CA 92103-2213
(619) 686-4011
(619) 686-4041
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A41748
CA
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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