Individual
EMILY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 FARMINGTON AVE, WEST HARTFORD, CT 06107-2227
(860) 233-2322
Mailing address
928 FARMINGTON AVE, WEST HARTFORD, CT 06107-2227
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13815
CT
Other
Enumeration date
06/06/2020
Last updated
08/21/2023
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