Organization
PATRICK K. SULLIVAN, MD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SULLIVAN MD (OWNER)
(401) 831-8300
Entity
Organization
Contact information
Practice address
235 PLAIN ST, SUITE 502, PROVIDENCE, RI 02905-3240
(401) 831-8300
Mailing address
235 PLAIN ST, SUITE 502, PROVIDENCE, RI 02905-3240
(401) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
08/22/2020
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