Individual
SEAN TYLER O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
153 US ROUTE 1, SCARBOROUGH, ME 04074-9052
(207) 799-8596
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2641
ME
Other
Enumeration date
06/24/2013
Last updated
09/28/2020
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