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Dr. Scott J Sullivan, MD
Diagnostic Radiology Physician in Greenwich, Connecticut
NPI 1790733822

Scott J Sullivan is a Diagnostic Radiology Physician based in Greenwich, CT and is specialized in Diagnostic Radiology. Scott J Sullivan practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Scott J Sullivan is 1790733822 and holds a License No. 039001 (Connecticut).

The current practice location address for Scott J Sullivan is 49 Lake Ave, Greenwich, CT and can be reached out via phone at 203-869-6220 and via fax at 203-869-2672.

Location: 49 Lake Ave, Greenwich, CT, 06830-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790733822
Provider Name
Scott J Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
49 Lake Ave, Greenwich, CT, 06830-4501
Phone Number
203-869-6220
Fax Number
203-869-2672
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001390012 05 CT
institution
Provider Business Practice Location Address Details
Address
49 Lake Ave
City
Greenwich
State
Connecticut
Zip
06830-4501
Phone Number
203-869-6220
Fax Number
203-869-2672
person
Provider Business Mailing Address Details
Address
49 Lake Ave
City
Greenwich
State
Connecticut
Zip
06830-4501
Phone Number
203-869-6220
Fax Number
203-869-2672
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
039001 (Connecticut)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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