Individual
DR. JOHN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 208064, NEW HAVEN, CT 06520-8064
(203) 785-4081
Mailing address
PO BOX 208064, NEW HAVEN, CT 06520-8064
(203) 785-4081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82724
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
08/18/2025
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