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NPI Code Detail

MEDICARE: SEAN HARRY SULLIVAN JR. MD

MEDICARE: SEAN HARRY SULLIVAN JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician335932NY
22085R0202XDiagnostic Radiology PhysicianMD483615PA
32085B0100XBody Imaging PhysicianMD483615PA

General Provider Information

NPI Number : 1477057958
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN HARRY SULLIVAN JR. MD
Provider Business Mailing Address
First Line : 320 E NORTH AVE
Second Line : SOUTH TOWER - 17TH FLOOR
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-2459
Fax Number : 412-359-8233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 05/28/2026

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