| Dr Theodore Robert Sullivan, MD | |
|
1245 Highland Ave, Suite 600, Abington, PA 19001-3714 | |
| (215) 887-3990 | |
| (215) 887-1140 |
| Full Name | Dr Theodore Robert Sullivan |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1245 Highland Ave, Abington, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144216938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD041868L (Pennsylvania) | Primary |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Surgical Care Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346386398 PECOS PAC ID: 5597747154 Enrollment ID: O20040607000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore Robert Sullivan, MD 1245 Highland Ave, Suite 600, Abington, PA 19001-3714 Ph: (215) 887-3990 | Dr Theodore Robert Sullivan, MD 1245 Highland Ave, Suite 600, Abington, PA 19001-3714 Ph: (215) 887-3990 |
Hamzeh Moh'd Adeeb Halawani, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-441-6800 | |
Dr. James Victor Yuschak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Ave Ste 600, Abington, PA 19001 Phone: 215-887-3990 Fax: 215-887-1140 | |
Mr. Michael Lynn Nussbaum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Ave, Suite 600, Abington, PA 19001 Phone: 215-887-3990 Fax: 215-887-1140 | |
Dr. Ryan Marc Shadis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Avenue, Suite 600, Abington, PA 19001 Phone: 215-887-3990 Fax: 215-887-1140 | |
Dr. Linda Li, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-7464 | |
Dr. Waed Alswealmeen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2606 |