Individual
DR. EUGENE DAVID SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 2120, HARTFORD, CT 06105
(860) 246-4000
(860) 527-6985
Mailing address
1000 ASYLUM AVE, SUITE 2120, HARTFORD, CT 06105
(860) 246-4000
(860) 527-6985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021621
CT
208600000X
Surgery Physician
Primary
021621
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216217
—
CT
Enumeration date
06/05/2006
Last updated
07/07/2010
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