Individual
CORINNE KRAVITZ SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 DUNNING ST, CLAREMONT, NH 03743
(603) 542-6700
(603) 542-6730
Mailing address
243 ELM ST, CLAREMONT, NH 03743
(603) 543-6940
(603) 543-6950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16357
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022455
—
VT
01
—
16357
LICENSE
NH
05
—
3091289
—
NH
Enumeration date
05/08/2009
Last updated
05/13/2016
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