Individual
HANNAH B SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5256
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2471
CT
Other
Enumeration date
09/23/2010
Last updated
01/25/2024
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