Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL SULLIVAN, MD
ActiveMITCHELL SULLIVAN, MD is a Family Medicine healthcare provider located in LYNDONVILLE, Vermont. NPI 1841292562 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LYNDONVILLE, VT
Registration Details
- NPI Number
- 1841292562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.831631748275 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
9367 (NH)042-0012982 (VT)
Practice Information
- Address
-
195 INDUSTRIAL PKWYLYNDONVILLE, VT, 058514511Browse VT providers · Browse ZIP 05851
- Phone
- 8027489501
- Fax
- 8027483420
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.