Search › Rhode Island › 363A00000X
Scott Sullivan, PA
NPI 1477592988 · on the registry since 2006
Practice
- Address
- 450 Veterans Memorial Pkwy # 15b
East Providence, RI 02914 - Phone
- (401) 434-3350
- Fax
- (401) 434-5230
- Clinicians at this address
- 4
Additional practice sites
- 118 Dudley St, Providence, RI
- 41 Mall Rd, Burlington, MA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- RI, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island