| Corinne Kravitz Sullivan, MD | |
|
7 Dunning St, Claremont, NH 03743 | |
| (603) 542-6700 | |
| (603) 542-6730 |
| Full Name | Corinne Kravitz Sullivan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7 Dunning St, Claremont, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376777078 | NPI | - | NPPES |
| 16357 | Other | NH | LICENSE |
| 3091289 | Medicaid | NH | |
| 1022455 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 16357 (New Hampshire) | Primary |
| Entity Name | Valley Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366687683 PECOS PAC ID: 5799683280 Enrollment ID: O20031222000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Corinne Kravitz Sullivan, MD 243 Elm St, Claremont, NH 03743 Ph: (603) 543-6940 | Corinne Kravitz Sullivan, MD 7 Dunning St, Claremont, NH 03743 Ph: (603) 542-6700 |
Jennifer Lipfert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9 Dunning St, Claremont, NH 03743 Phone: 603-542-6700 Fax: 603-542-6730 | |
Steven R Blair, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9 Dunning St, Claremont, NH 03743 Phone: 603-542-9505 Fax: 603-542-0969 | |
Shirley Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7 Dunning Street, Claremont, NH 03743 Phone: 603-542-6700 Fax: 603-542-6703 |