Individual
DR. WILLIAM JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 627-2625
Mailing address
41 COPELAND ST, SPRINGFIELD, MA 01108-2970
(413) 627-2625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215708
MA
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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