Individual
MS. JILL MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
282 WASHINGTON ST, CARDIOLOGY - 2B, HARTFORD, CT 06106-3322
(860) 545-9400
(860) 545-9410
Mailing address
282 WASHINGTON ST, CARDIOLOGY - 2B, HARTFORD, CT 06106-3322
(860) 545-9400
(860) 545-9410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010073
NY
363A00000X
Physician Assistant
25MP00131300
NJ
363A00000X
Physician Assistant
Primary
2921
CT
363AS0400X
Surgical Physician Assistant
MA-052098
PA
Other
Enumeration date
01/23/2008
Last updated
04/15/2022
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