Individual provider · Type 1 NPI

Hope Tiezzi Sullivan, PA-C

Medical Physician Assistant · Greenwich, CT

NPI number 1922641745 Active

Practice location

5 Perryridge Rd
Greenwich, CT 06830-4608

Mailing address

120 Towne St Unit 627
Stamford, CT 06902-6170

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4681 (CT)
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1922641745

Hope Tiezzi Sullivan, PA-C's National Provider Identifier is 1922641745, issued on Oct 24, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greenwich, CT. The record was last updated on Jul 3, 2024.