Brendan L Sullivan
MD | Pediatrics | Male
Brendan L Sullivan, MD is a Lorton, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Brendan L Sullivan is
9010 Lorton Station Blvd, Suite 100, Lorton, Virginia - 22079-4792. He can be contacted on phone at
703-436-1200 and fax number 703-642-0392.
Brendan L Sullivan is a sole proprietor of his business.
NPI number (Unique professional ID) for Brendan L Sullivan is
1780643908 which was assigned by NPPES on 18 Mar, 2006 and it was last updated on 28 Jan, 2011.
Brendan L Sullivan license number is
0101227543 for Pediatrics (208000000X) in Virginia.
Brendan L Sullivan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Brendan L Sullivan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Brendan L Sullivan |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Brendan L Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9010 Lorton Station Blvd, Suite 100
Lorton, VA, 22079-4792
United States |
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| Phone Number : | 703-436-1200 |
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| Fax Number : | 703-642-0392 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780643908 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2006 |
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| Last Updated On : | 28 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brendan L Sullivan are as mentioned. Primary taxonomy code for Brendan L Sullivan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101227543 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Brendan L Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6721001 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1500 N Beauregard St, Suite 200
Alexandria, VA, 22311-1723
United States |
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| Phone Number : | 703-436-1200 |
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| Fax Number : | 703-575-9525 |
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Business Location:
Patients can refer following map for directions to
Brendan L Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.