Debra Sullivan in Derby - Medical

Debra Sullivan - NPI 1396836714

Debra Sullivan is a Medical in Derby, Connecticut. Debra Sullivan practices all healthcare services and medical treatments related to Medical. The NPI Number for Debra Sullivan is 1396836714. The last update date is 2007-07-08.

Debra Sullivan's current location address is 130 Divsiion Street, Derby, Connecticut. You can contact this provider via phone number 2037327403. The mailing address for Debra Sullivan is 130 Divsiion Street, Derby, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Debra Sullivan
Address 130 Divsiion Street, Derby, Connecticut
Phone Number 2037327403
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1396836714
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 130 Divsiion Street
City Derby
State Connecticut (CT)
Post Code 6418
Phone Number 2037327403
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1807
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Debra Sullivan

What is the unique 10-digit identification code assigned to Debra Sullivan by the Centers for Medicare & Medicaid Services?

The Debra Sullivan has been issued the NPI (National Provider Identifier) 1396836714, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Debra Sullivan?

The Debra Sullivan is physically situated at 130 Divsiion Street, in the city of Derby, state of CT, with the postal code 6418.

What is Debra Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Debra Sullivan is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.

On what date did Debra Sullivan receive its 1396836714 assignment from the Centers for Medicare & Medicaid Services?

The Debra Sullivan was assigned its 1396836714 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Debra Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Debra Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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