Individual
TIMOTHY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 THATCHER ST, RUMFORD, RI 02916-2714
(401) 578-1312
Mailing address
38 THATCHER ST, RUMFORD, RI 02916-2714
(401) 578-1312
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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