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1992795686
DENNIS M SULLIVAN
FORT DRUM, NY
NPI
1992795686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 166641)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
Dr. DENNIS M SULLIVAN M.D.
CTMC US ARMY MEDDAC
FORT DRUM, NY 13602
Phone number: 315-772-8437
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Mailing Address
Dr. DENNIS M SULLIVAN M.D.
PO BOX 159
NATURAL BRIDGE, NY 13665-0159
Phone number: 315-644-4535
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