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Contact Information

RACHEL A SULLIVAN, MD
235 PLAIN ST STE 203
PROVIDENCE, RI02905-3241
 Phone: 401-649-4901
 Fax: 401-649-4903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RACHEL A SULLIVAN · (Female)

NPI Number 1023236494
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2007
Last updated 11/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 245997
  • MD License # D0069074
  • RI License # MD13340
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
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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