Individual
DR. ROBERT EDWIN O' SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT STREET, BRIDGEPORT, CT 06610
(203) 384-3446
Mailing address
255 ACORN LN, MILFORD, CT 06461-1884
(203) 892-1170
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55690
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
07/02/2013
Last updated
02/27/2019
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