Eugene David Sullivan in Hartford - Specialist

Eugene David Sullivan - NPI 1255370326

Eugene David Sullivan is a Specialist in Hartford, Connecticut. Eugene David Sullivan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eugene David Sullivan is 1255370326. The last update date is 2010-07-07.

Eugene David Sullivan's current location address is 1000 Asylum Ave, Hartford, Connecticut. You can contact this provider via phone number 8602464000 and fax number 8605276985. The mailing address for Eugene David Sullivan is 1000 Asylum Ave, Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene David Sullivan
Address 1000 Asylum Ave, Hartford, Connecticut
Phone Number 8602464000
Fax Number 8605276985
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255370326
Provider Enumeration Date 2006-06-05
Last Updated Date 2010-07-07

Provider Mailing Address Detail

Address 1000 Asylum Ave
City Hartford
State Connecticut (CT)
Post Code 6105
Phone Number 8602464000
Fax Number 8605276985

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 21621
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1216217 CT --

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FAQs about Eugene David Sullivan

What is the unique 10-digit identifier code issued to Eugene David Sullivan by the Centers for Medicare & Medicaid Services?

The Eugene David Sullivan has been assigned the NPI (National Provider Identifier) 1255370326 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Eugene David Sullivan is located?

The Eugene David Sullivan is situated at the following address: 1000 Asylum Ave, Hartford, CT, 6105.

What is the Eugene David Sullivan's specialty and taxonomy code?

The Eugene David Sullivan's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Eugene David Sullivan receive its 1255370326 assignment from the Centers for Medicare & Medicaid Services?

The Eugene David Sullivan was assigned its 1255370326 by the Centers for Medicare & Medicaid Services on 2006-06-05.

When was the information regarding Eugene David Sullivan most recently updated?

The details pertaining to the Eugene David Sullivan, including its address, specialty, and other relevant information, were last refreshed on 2010-07-07.

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