Individual
JAMES ROBERT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
11 BLUE ORCHARD DR, MIDDLETOWN, CT 06457-5006
(203) 671-9271
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5560
CT
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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