Johanna Sullivan, PA

NPI #1952036394 in North Haven, Connecticut

Provider Information

NPI Number: 1952036394
Entity Type: Individual
Name: Johanna Sullivan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 20, 2022
Last Updated: Apr 28, 2023

Practice Location

Address: 370 BASSETT RD
City: North Haven
State: Connecticut
ZIP Code: 06473-4201
Phone: (917) 435-0238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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