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1518967678
RICHARD L SULLIVAN
SCARBOROUGH, ME
NPI
1518967678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: ME 008530)
Enumeration Date
2005-07-29
Last Update Date
2014-12-01
Business Address
-- RICHARD L SULLIVAN MD
49 SPRING ST
SCARBOROUGH, ME 04074-8926
Phone number: 207-883-1414
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Mailing Address
-- RICHARD L SULLIVAN MD
39 WALLACE AVE
SOUTH PORTLAND, ME 04106-6143
Phone number: 207-761-0650
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