person
Michael K Sullivan, PA-C
Surgical Physician Assistant in New Haven, Connecticut
NPI 1558914960

Michael K Sullivan is a Surgical Physician Assistant based in Lincoln, CT and is specialized in Surgical. Michael K Sullivan practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Michael K Sullivan is 1558914960 and holds a License No. (Connecticut).

The current practice location address for Michael K Sullivan is 20 York St, New Haven, CT and can be reached out via phone at 203-688-4242. You can also correspond with Michael K Sullivan through the mailing address at 17 SAYLES AVE, LINCOLN, RI - 02865-2133 (mailing address contact number: 401-617-1457).

Location: 20 York St, New Haven, CT, 02865-2133
person
Provider Profile Details
NPI Number
1558914960
Provider Name
Michael K Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
20 York St, New Haven, CT, 02865-2133
Phone Number
203-688-4242
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-688-4242
Fax Number
person
Provider Business Mailing Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-688-4242
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4657 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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