# PHILIP G SULLIVAN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740633981
- **Authorized official:** PHILIP GERARD SULLIVAN M.D. (PHYSICIAN)
- **Authorized official phone:** (508) 759-1482

## Contact information

- **Practice address:** 489 SHORE RD, MONUMENT BEACH, MA 02553-1034
- **Practice address phone:** (508) 759-1482
- **Practice address fax:** (508) 743-9202
- **Mailing address:** PO BOX 1034, MONUMENT BEACH, MA 02553-1034
- **Mailing address phone:** (508) 759-1482
- **Mailing address fax:** (508) 743-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 26061 | MA | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 07/22/2016