Patrick K. Sullivan, Md, Ltd.

NPI #1013978634 in Providence, Rhode Island

Provider Information

NPI Number: 1013978634
Entity Type: Organization
Organization Name: Patrick K. Sullivan, Md, Ltd.
Primary Specialty: Plastic Surgery
Enumeration Date: Mar 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 235 PLAIN ST
Address 2: SUITE 502
City: Providence
State: Rhode Island
ZIP Code: 02905-3240
Phone: (401) 831-8300

Authorized Official

Name: PATRICK SULLIVAN, MD
Title: OWNER
Phone: (401) 831-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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