# DR. BRIAN P SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699750265
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 74990 | MA | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 04/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1025541 | AETNA | — |
| 01 | — | 13867 | HPHC | MA |
| 01 | — | 139146 | CIGNA | — |
| 05 | — | 3183238 | — | MA |
| 01 | — | 74990 | TUFTS | — |
| 01 | — | J12638 | BCBS | MA |