Individual
SARAH BROOKE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
113 OLD STRATFIELD RD, FAIRFIELD, CT 06825-4432
(203) 592-4556
Mailing address
113 OLD STRATFIELD RD, FAIRFIELD, CT 06825-4432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002032
CT
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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