Individual
MATTHEW SCOTT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Mailing address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.097025
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
08/13/2024
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