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Individual
DR. JOHN S SULLIVAN
Active
Individual
DR. JOHN S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
57446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029830
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0200248
UNITED HEALTH CARE
MA
01
—
042923137
TAX ID GROUP NUMBER
MA
01
—
057446
TUFTS HEALTHPLAN
MA
01
—
2376607
AETNA HEALTHCARE
MA
01
—
26920
CHILDREN'S MEDICAL SECURI
MA
01
—
326051
CIGNA HEALTHCARE
MA
05
—
6189768
—
MA
01
—
63777
FALLON HEALTH PLAN
MA
01
—
645387
HARVARD PILGRIM
MA
01
—
985163
NETWORK HEALTH
MA
01
—
J30252
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/09/2005
Last updated
09/03/2008
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