person
Mitchell Sullivan, MD
Family Medicine Physician in Lyndonville, Vermont
NPI 1841292562

Mitchell Sullivan is a Family Medicine Physician based in Lyndonville, VT. Mitchell Sullivan practices in Lyndonville, VT and has the professional credentials of MD. The NPI Number for Mitchell Sullivan is 1841292562 and holds a License No. 9367 (Vermont).

The current practice location address for Mitchell Sullivan is 195 Industrial Pkwy, Lyndonville, VT and can be reached out via phone at 802-748-9501 and via fax at 802-748-3420.

Location: 195 Industrial Pkwy, Lyndonville, VT, 05851-0083
person
Provider Profile Details
NPI Number
1841292562
Provider Name
Mitchell Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
195 Industrial Pkwy, Lyndonville, VT, 05851-0083
Phone Number
802-748-9501
Fax Number
802-748-3420
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160094 01 NH CIGNA HEALTHCARE
0106084YPNH01 01 NH ANTHEM BC/BS
5830418 01 AETNA GROUP
9367 01 NH STATE LICENSE #
30008999 05 NH
930044719 01 RAILROAD MEDICARE
3073723 05 NH
institution
Provider Business Practice Location Address Details
Address
195 Industrial Pkwy
City
State
Zip
05851-4511
Phone Number
802-748-9501
Fax Number
802-748-3420
person
Provider Business Mailing Address Details
Address
195 Industrial Pkwy
City
State
Zip
05851-4511
Phone Number
802-748-9501
Fax Number
802-748-3420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
9367 (New Hampshire)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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