Dr. Mary Ann Sullivan
Ophthalmologist General Practice Physician
8901 Wisconsin Ave
Bethesda
, Maryland 20889-5600
Dr. Mary Ann Sullivan
Ophthalmologist General Practice Physician
8901 Wisconsin Ave
Bethesda
, Maryland 20889-5600
(575) 749-3629
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About
Features
Specialties
- Ophthalmologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mary Ann Sullivan
- 8901 Wisconsin Ave
- Bethesda, MD
- Zip : 20889-5600
- Phone : (575) 749-3629
Second Address
- Dr. Mary Ann Sullivan
- 8901 Wisconsin Ave
- Bethesda, MD
- Zip : 20889-5600
- Phone : (575) 749-3629
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 101256883 | VA |
| N | 208D00000X | General Practice Physician | 0101256883 | VA |
National Provider Identifier
| NPI | 1043659949 |
|---|---|
| Provider Name | Dr. Mary Ann Sullivan |
| First Address | Bethesda, MD 20889-5600 |
| Second Address | Bethesda, MD 20889-5600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2013 |
| Last Update Date | 26/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.