Individual
DR. WILLIAM M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 799-0457
(207) 799-0457
Mailing address
29 HUNTS POINT RD, CAPE ELIZABETH, ME 04107-2926
(207) 799-0457
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12321
ME
Other
Enumeration date
10/19/2006
Last updated
11/18/2010
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