Kevin M Sullivan, MD | |
1600 Rockland Rd, Wilmington, DE 19803-3607 | |
(302) 651-4200 | |
Not Available |
Full Name | Kevin M Sullivan |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1600 Rockland Rd, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568557643 | NPI | - | NPPES |
C10008056 | Other | DE | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C10008056 (Delaware) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD433723 (Pennsylvania) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
Mailing Address | Practice Location Address |
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Kevin M Sullivan, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (407) 650-7129 | Kevin M Sullivan, MD 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Joanna Costa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-5795 | |
Salwa Elizabeth Sulieman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 | |
Shahryar Tariq Rana, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3120 Naamans Rd, Wilmington, DE 19810 Phone: 386-508-0486 | |
Dr. Henrietta M. Mahoney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Nemours Pediatrics Philadelphia Pike, 222 Philadelphia Pike, Wilmington, DE 19809 Phone: 302-761-4660 Fax: 302-761-4666 | |
Dr. Francis Njeuma Mase, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Lea Blvd, Suite 209, Wilmington, DE 19802 Phone: 302-762-5656 Fax: 302-762-5699 | |
Barry Dashefsky, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 | |
Dr. Frances R. Zappalla, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 |