Individual provider · Type 1 NPI

Mark C. Sullivan, PA-C

Surgical Physician Assistant · Portsmouth, NH

NPI number 1225075328 Active

Practice location

333 Borthwick Avenue, Suite 402
Portsmouth, NH 03801

Fax (603) 663-6822

Other practice locations

  • 333 Borthwick Ave, Suite 402, Portsmouth, NH 03801-7128 · (603) 559-4111

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA 880 (ME)
Surgical Physician Assistant Primary 363AS0400X0238P (NH)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1225075328

Mark C. Sullivan, PA-C's National Provider Identifier is 1225075328, issued on May 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portsmouth, NH. The record was last updated on Oct 4, 2023.