Scott J Sullivan in Greenwich - Diagnostic Radiology

Scott J Sullivan - NPI 1790733822

Scott J Sullivan is a Diagnostic Radiology in Greenwich, Connecticut. Scott J Sullivan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Scott J Sullivan is 1790733822. The last update date is 2010-09-14.

Scott J Sullivan's current location address is 49 Lake Ave, Greenwich, Connecticut. You can contact this provider via phone number 2038696220 and fax number 2038692672. The mailing address for Scott J Sullivan is 49 Lake Ave, Greenwich, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott J Sullivan
Address 49 Lake Ave, Greenwich, Connecticut
Phone Number 2038696220
Fax Number 2038692672
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790733822
Provider Enumeration Date 2006-05-04
Last Updated Date 2010-09-14

Provider Mailing Address Detail

Address 49 Lake Ave
City Greenwich
State Connecticut (CT)
Post Code 68304501
Phone Number 2038696220
Fax Number 2038692672

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 39001
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1390012 CT --

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FAQs about Scott J Sullivan

What is the unique identification code assigned to Scott J Sullivan by the Centers for Medicare & Medicaid Services?

The Scott J Sullivan has been issued the NPI (National Provider Identifier) 1790733822. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Scott J Sullivan is physically located?

The Scott J Sullivan is physically situated at the following address: 49 Lake Ave, Greenwich, CT, 68304501.

What is the Scott J Sullivan's area of specialization and corresponding taxonomy classification?

The Scott J Sullivan's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1790733822 to Scott J Sullivan?

The Centers for Medicare & Medicaid Services assigned the 1790733822 to Scott J Sullivan on 2006-05-04.

As of what date was the information pertaining to Scott J Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Scott J Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-14.

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