Individual
DR. PAUL RYAN CHARLES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1093 PROSPECT AVE, WEST HARTFORD, CT 06105-1104
(860) 523-5753
Mailing address
1093 PROSPECT AVE, WEST HARTFORD, CT 06105-1104
(860) 523-5753
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
013428
CT
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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