Individual
DANIEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RO
Contact information
Practice address
160 PLEASANT ST, ATTLEBORO, MA 02703-2443
(508) 222-5400
Mailing address
160 PLEASANT ST, ATTLEBORO, MA 02703-2443
(508) 222-5400
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1934
MA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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