Organization
THORACIC & SURGICAL SPECIALISTS OF CUMBERLAND VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F SULLIVAN SR. M.D. (PRESIDENT)
(301) 665-4760
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 127, HAGERSTOWN, MD 21742-6700
(301) 665-4760
(301) 665-4761
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 127, HAGERSTOWN, MD 21742-6700
(301) 665-4760
(301) 665-4761
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD038772E
MD
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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