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Individual

SAMUEL SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, 4D HOSPITALIST, RICHMOND, VA 23249-0001
(804) 510-0140

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101264844
VA
208M00000X
Hospitalist Physician
Primary
0101264844
VA

Other

Enumeration date
04/22/2015
Last updated
02/22/2025
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