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Charles Sullivan DO NPI 1003984311

Classification
Neuromusculoskeletal Medicine & OMM
Type
License No.
1048
License State
ME
Certified
Location

Additional Identifiers

Medical School
Yes
Graduation Year
0
Identifier
Type
State
Identifier: F09158
Type: MEDICARE UPIN (02)
State:
Identifier: 015555
Type: OTHER (01)
State:
Identifier: 211750000
Type: MEDICAID (05)
State: ME
Identifier: 015219
Type: OTHER (01)
State:

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
98 SECOND ST, HALLOWELL, ME, 43471368
Business Phone
207-649-2795
Mailing Address
98 SECOND ST, HALLOWELL, ME, 43471368
Mailing Phone
207-649-2795
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