NPI 1154396927

Gerald Bland Sullivan, MD

Practitioner Family Medicine Physician Putnam, CT

Practice location

Address: 7 Kennedy Dr, Putnam, CT 06260-1939
Phone: (860) 928-6541
Fax: (860) 928-8268

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 024782 (CT)

Other Family Medicine providers in Connecticut →

Registry record

NPI: 1154396927
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 13 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.