Individual
MRS. KRISTIN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 PARKER HILL AVE, CONVERSE 4, BOSTON, MA 02120-2847
(617) 754-6025
(617) 754-6026
Mailing address
125 PARKER HILL AVE, CONVERSE 4, BOSTON, MA 02120-2847
(617) 754-6025
(617) 754-6026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4454
MA
Other
Enumeration date
09/24/2012
Last updated
01/10/2017
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