Individual
RACHEL AILEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 PLAIN ST STE 203, PROVIDENCE, RI 02905-3241
(401) 649-4901
(401) 649-4903
Mailing address
235 PLAIN ST STE 203, PROVIDENCE, RI 02905-3241
(401) 649-4901
(401) 649-4903
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
245997
MA
208200000X
Plastic Surgery Physician
D0069074
MD
208200000X
Plastic Surgery Physician
Primary
MD13340
RI
Other
Enumeration date
04/23/2007
Last updated
11/09/2010
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