Individual
MR. TIMOTHY JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 NEW LONDON TPKE, NORWICH, CT 06360
(860) 889-3835
(860) 823-1782
Mailing address
92 NEW LONDON TPKE, NORWICH, CT 06360
(860) 889-3835
(860) 823-1782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
026294
CT
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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