person
Mr. Thomas Brian Sullivan, PAC
Medical Physician Assistant in Huntingdon, Pennsylvania
NPI 1841212032

Thomas Brian Sullivan is a Medical Physician Assistant based in Broad Top, PA and is specialized in Medical. Thomas Brian Sullivan practices in Huntingdon, PA and has the professional credentials of PAC. The NPI Number for Thomas Brian Sullivan is 1841212032 and holds a License No. 0A002066 (Pennsylvania).

The current practice location address for Thomas Brian Sullivan is 790 Bryan St, Huntingdon, PA and can be reached out via phone at 814-643-8299 and via fax at 814-643-8300.

Location: 790 Bryan St, Huntingdon, PA, 16621-9001
person
Provider Profile Details
NPI Number
1841212032
Provider Name
Thomas Brian Sullivan
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
790 Bryan St, Huntingdon, PA, 16621-9001
Phone Number
814-643-8299
Fax Number
814-643-8300
Provider Enumeration Date
07/24/2006
Last Update Date
06/15/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
376731WFP 01 MEDICARE
103205926 05 PA
institution
Provider Business Practice Location Address Details
Address
790 Bryan St
City
State
Zip
16652-2410
Phone Number
814-643-8299
Fax Number
814-643-8300
person
Provider Business Mailing Address Details
Address
790 Bryan St
City
State
Zip
16652-2410
Phone Number
814-643-8299
Fax Number
814-643-8300
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0A002066 (Pennsylvania)
Definition
Definition to come...
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