Individual
BRIAN PAUL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL PLAZA, STAMFORD, CT 06902
(203) 276-1000
Mailing address
74 KENSETT DR, WILTON, CT 06897-4420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052660
CT
Other
Enumeration date
04/08/2009
Last updated
05/09/2016
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