Individual
MEREDITH SULLIVAN HOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
85 SEYMOUR ST STE 923, HARTFORD, CT 06106-5529
(860) 524-4550
(860) 524-4465
Mailing address
85 SEYMOUR ST STE 923, HARTFORD, CT 06106-5529
(860) 524-4550
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
67818
CT
207RP1001X
Pulmonary Disease Physician
Primary
67818
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
05/25/2021
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