IndividualActive
Mark Sullivan, PA-C
NPI 1225075328 · Surgical Physician Assistant · Portsmouth, NH
Provider details
- NPI number
- 1225075328
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA 880 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 Borthwick Avenue
Suite 402
Portsmouth, NH 03801
Phone: (603) 559-4111
Fax: (603) 663-6822
Approximate (ZIP-level) locationGet directions
Mailing address
333 Borthwick Avenue
Portsmouth, NH 03801
Additional practice locations (1)
- 333 Borthwick AveSuite 402Portsmouth, NH 03801-7128Phone: (603) 559-4111Fax: (603) 559-4110
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2023-10-04
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.