Peter William Sullivan in Modesto - Emergency Medicine
Peter William Sullivan - NPI 1558352864
Peter William Sullivan is a Emergency Medicine in Modesto, California. Peter William Sullivan practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Peter William Sullivan is 1558352864. The last update date is 2008-08-08.
Peter William Sullivan's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Peter William Sullivan is 4301 Northstar Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter William Sullivan |
|---|---|
| Address | 4301 Northstar Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558352864 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 4301 Northstar Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569262 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | G23354 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OOG233540 | CA | -- | |
| OOG233540 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the Peter William Sullivan's unique identification number?
The Peter William Sullivan has been assigned the NPI (National Provider Identifier) Number 1558352864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Peter William Sullivan is physically located?
The Peter William Sullivan is situated at the following address: 4301 Northstar Way, Modesto, CA 953569262.
What is Peter William Sullivan's area of expertise and its corresponding taxonomy classification?
The Peter William Sullivan's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.
When was the Peter William Sullivan's 1558352864 issued?
The Peter William Sullivan's 1558352864 was issued on 2005-11-04.
When was the Peter William Sullivan's information last updated?
The Peter William Sullivan's information was last updated on 2008-08-08.
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