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Individual
PATRICK JAMES SULLIVAN
Active
Individual
PATRICK JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020926
NY
363A00000X
Physician Assistant
Primary
PA8960
MA
Other
Enumeration date
07/05/2017
Last updated
01/26/2023
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