# UNIVERSITY OF MASSACHUSETTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF MASSACHUSETTS
- **Other names:** UMass Dartmouth Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043418882
- **Legal business name:** UNIVERSITY OF MASSACHUSETTS
- **Authorized official:** MRS. MARIANNE SULLIVAN DNP, ANP-BC (DIRECTOR OF STUDENT HEALTH SERVICES)
- **Authorized official phone:** (508) 999-8984

## Contact information

- **Practice address:** 285 OLD WESTPORT ROAD, UMASS DARTMOUTH STUDENT HEALTH SERVICES, NORTH DARTMOUTH, MA 02747-2300
- **Practice address phone:** (508) 999-8982
- **Practice address fax:** (508) 999-8985
- **Mailing address:** 285 OLD WESTPORT ROAD, UMASS DARTMOUTH STUDENT HEALTH SERVICES, NORTH DARTMOUTH, MA 02747-2300
- **Mailing address phone:** (508) 999-8982
- **Mailing address fax:** (508) 999-8985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 02/20/2020