Organization
NEWTOWN MEDISPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SULLIVAN PA-C (OWNER/CEO)
(203) 304-1076
Entity
Organization
Contact information
Practice address
34 CHURCH HILL RD, NEWTOWN, CT 06470-1642
(203) 304-9725
Mailing address
34 CHURCH HILL RD, NEWTOWN, CT 06470-1642
(203) 304-9725
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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