Gerald Bland Sullivan, MD

NPI #1154396927 in Putnam, Connecticut

Provider Information

NPI Number: 1154396927
Entity Type: Individual
Name: Gerald Bland Sullivan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 23, 2006
Last Updated: May 13, 2013

Practice Location

Address: 7 KENNEDY DR
City: Putnam
State: Connecticut
ZIP Code: 06260-1939
Phone: (860) 928-6541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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