Search › Virginia › 207Q00000X
Jerry Sullivan, M.D
NPI 1306998406 · on the registry since 2007
Practice
- Address
- 6501 Loisdale Ct
Springfield, VA 22150 - Phone
- (703) 922-1000
- Fax
- (703) 922-1039
- Organisation at this address
- Kaiser Permanente
Kaiser Permanente
Kaiser Permanente Mid-AtlanticInferred from a shared address, not stated in the registry. - Clinicians at this address
- 124
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X
207Q00000X - Licence states on file
- WA, VA, MD, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia