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Individual

CHRISTINE E SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4 SHAPE DR, KENNEBUNK, ME 04043-6760
(207) 467-8988
(207) 467-8969
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015636
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
295460099
ME
05
30207981
NH
Enumeration date
07/07/2006
Last updated
11/01/2010
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