Individual
PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 PLAIN ST, PROVIDENCE, RI 02905-3240
(401) 831-8300
Mailing address
235 PLAIN ST, PROVIDENCE, RI 02905-3243
(401) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD06895
RI
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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