Dr. Scott J Sullivan, M.D.
Radiology, Diagnostic Radiology in Greenwich, CT. Individual provider (NPI-1).
NPI number1790733822
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1790733822
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott J Sullivan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 039001 | CT | Yes |
Practice location
49 Lake AveGreenwich, CT 06830-4501
Phone 203-869-6220 · Fax 203-869-2672
Mailing address
49 Lake AveGreenwich, CT 06830-4501
Phone 203-861-2381 · Fax 203-983-3318
Other practice locations
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Edina, MN 55435-7915
Phone 952-595-1100
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