Individual
DR. SRIDEVI SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5585
(617) 661-5107
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36099862
IL
Other
Enumeration date
02/24/2006
Last updated
09/15/2016
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