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Individual

ELIZABETH L SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
235 PLAIN ST, PROVIDENCE, RI 02905-3240
(401) 421-1710
(401) 861-2164
Mailing address
235 PLAIN ST, PROVIDENCE, RI 02905-3240
(401) 421-1710
(401) 861-2164

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14060
RI

Other

Enumeration date
07/18/2008
Last updated
01/10/2013
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