Individual
BETHANY E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8831
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8831
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
078152
CT
Other
Enumeration date
04/30/2021
Last updated
06/28/2024
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