Individual
DR. STEPHANIE THERESA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
177 MAIN ST, SPENCER, MA 01562-1711
(508) 885-2219
Mailing address
4 JOANNA DR, RUTLAND, MA 01543-1245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3022
CT
152W00000X
Optometrist
Primary
5686
MA
Other
Enumeration date
06/22/2017
Last updated
11/20/2024
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