Individual
DR. JOHN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 WOOD COVE DR, COVENTRY, RI 02816-6614
(401) 823-1638
Mailing address
92 WOOD COVE DR, COVENTRY, RI 02816-6614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD7852
RI
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD7852
RI
207R00000X
Internal Medicine Physician
MD7852
RI
207RH0003X
Hematology & Oncology Physician
MD7852
RI
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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