Individual
MS. SUSAN CATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 VILLAGE GRN N, PLYMOUTH, MA 02360
(508) 224-2224
Mailing address
3 VILLAGE GRN N, PLYMOUTH, MA 02360-8803
(508) 224-2224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1210
MA
Other
Enumeration date
01/27/2007
Last updated
07/23/2019
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