Dr. John Sullivan, M.D.
Ophthalmology in San Jose, CA. Individual provider (NPI-1).
NPI number1285605303
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1285605303
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Sullivan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | G12933 | CA | Yes |
Practice location
220 Meridian AveSan Jose, CA 95126-2903
Phone 408-869-3400 · Fax 408-947-7972
Mailing address
220 Meridian AveSan Jose, CA 95126-2903
Phone 408-869-3400 · Fax 408-947-7972
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