Provider Demographics
NPI:1154147965
Name:SULLIVAN, WILLIAM FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:SULLIVAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 N GARFIELD ST APT 1204
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-6830
Mailing Address - Country:US
Mailing Address - Phone:703-407-4193
Mailing Address - Fax:
Practice Address - Street 1:37TH & O STREETS NORTH WEST HEALY HALL ROOM 424
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20057-0001
Practice Address - Country:US
Practice Address - Phone:202-784-2853
Practice Address - Fax:202-687-8089
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210003174208D00000X
MDD0097553208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice