Individual
JANE A SULLIVAN-DURAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
633 MAPLE ST STE 1, HOPKINTON, NH 03229-3377
(603) 746-4626
(603) 746-1133
Mailing address
198 HOPKINS GREEN RD, HOPKINTON, NH 03229-2610
(603) 228-7600
(603) 228-7320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7856
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10905723
CAQH
—
05
—
80009639
—
NH
Enumeration date
09/02/2006
Last updated
07/27/2015
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