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Contact Information

JOHN SULLIVAN, MD
92 WOOD COVE DR
COVENTRY, RI02816-6614
 Phone: 401-823-1638
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN SULLIVAN · (Male)

NPI Number 1962827808
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2014
Last updated 03/02/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # MD7852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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