Individual
DR. DENNIS M SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CTMC, US ARMY MEDDAC, FORT DRUM, NY 13602
(315) 772-8437
Mailing address
PO BOX 159, NATURAL BRIDGE, NY 13665-0159
(315) 644-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166641
NY
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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