| Robert D Sullivan, MD | |
|
14820 Physicians Ln, 242, Rockville, MD 20850-3945 | |
| (301) 838-9606 | |
| (301) 838-9029 |
| Full Name | Robert D Sullivan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 14820 Physicians Ln, Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841238052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D57835 (Maryland) | Primary |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
| Entity Name | Capitol Anesthesia Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194106955 PECOS PAC ID: 3274848320 Enrollment ID: O20240118004338 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Sullivan, MD 2454 5 Shillings Rd, Frederick, MD 21701-9326 Ph: () - | Robert D Sullivan, MD 14820 Physicians Ln, 242, Rockville, MD 20850-3945 Ph: (301) 838-9606 |
Charles Rizzuto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Thomas F Gambon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 | |
Nader E. Soliman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Clyde W Pray, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Research Blvd, 350, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 | |
Toni Ann Hawley, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
John A Tam, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Dr. Jen-wen Chen, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1901 Research Blvd, 350, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 |