Individual
MATTHEW R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 ELM ST, VRH-KANE CENTER, HEMATOLOGY/ONCOLOGY, CLAREMONT, NH 03743-4921
(603) 542-6777
Mailing address
243 ELM ST, VRH-KANE CENTER, HEMATOLOGY/ONCOLOGY, CLAREMONT, NH 03743-4921
(603) 542-6777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17663
NH
207RH0003X
Hematology & Oncology Physician
Primary
17663
NH
Other
Enumeration date
07/27/2011
Last updated
09/21/2016
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