MICHAEL K SULLIVAN

NEW HAVEN, CT
NPI1558914960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  4657)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-24
Last Update Date2020-05-31
Business Address
MICHAEL K SULLIVAN PA-C
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Mailing Address
MICHAEL K SULLIVAN PA-C
17 SAYLES AVE
LINCOLN, RI 02865-2133
Phone number: 401-617-1457