Individual
HOPE TIEZZI SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3000
Mailing address
120 TOWNE ST UNIT 627, STAMFORD, CT 06902-6170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
4681
CT
Other
Enumeration date
10/24/2019
Last updated
07/03/2024
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