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Individual

DR. STEPHEN FRANCIS SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
51 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2212
Mailing address
51 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2212

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34394
MA
207W00000X
Ophthalmology Physician
MD05069
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0155691
MA
05
SS31068
RI
Enumeration date
09/27/2005
Last updated
09/21/2015
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