Individual
CHRISTOPHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
850 N MAIN STREET EXT, BUILDING 1, A3, WALLINGFORD, CT 06492-2400
(203) 269-4353
(203) 269-4606
Mailing address
850 N MAIN STREET EXT, BUILDING 1, A3, WALLINGFORD, CT 06492-2400
(203) 269-4353
(203) 269-4606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6981
CT
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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