Individual
DR. PATRICIA LEIGH ZADNIK SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-9166
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD17697
RI
390200000X
Student in an Organized Health Care Education/Training Program
MT206876
PA
Other
Enumeration date
06/15/2014
Last updated
06/07/2021
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