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Terrence R Sullivan, MD
Urology Physician in Los Gatos, California
NPI 1447244785

Terrence R Sullivan is a Urology Physician based in Los Gatos, CA. Terrence R Sullivan practices in Los Gatos, CA and has the professional credentials of MD. The NPI Number for Terrence R Sullivan is 1447244785 and holds a License No. G25099 (California).

The current practice location address for Terrence R Sullivan is 16450 Matilija Dr, Los Gatos, CA and can be reached out via phone at 408-590-3159.

Location: 16450 Matilija Dr, Los Gatos, CA, 95030-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447244785
Provider Name
Terrence R Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16450 Matilija Dr, Los Gatos, CA, 95030-3080
Phone Number
408-590-3159
Fax Number
Provider Enumeration Date
09/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00061715 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
16450 Matilija Dr
City
Los Gatos
State
California
Zip
95030-3080
Phone Number
408-590-3159
Fax Number
person
Provider Business Mailing Address Details
Address
16450 Matilija Dr
City
Los Gatos
State
California
Zip
95030-3080
Phone Number
408-590-3159
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G25099 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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