Individual
DR. MAURA ELLEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, PEDIATRIC MEDICINE WAC 715, BOSTON, MA 02114-3117
(617) 724-2174
(617) 726-4267
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150898
MA
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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