Individual
JOHN J SULLIVAN
Active
Individual
JOHN J SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015705
NEIGHBORHOOD HEALTH
MA
01
—
164920
CIGNA HEALTHSOURCE
—
05
—
2061899
—
MA
01
—
35943
FALLON COMMUNITY HEALTH
MA
01
—
70503
HARVARD PILGRIM
—
01
—
706387
TUFTS HEALTH PLAN
MA
01
—
B10030001
CIGNA
—
01
—
B52010
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/13/2006
Last updated
07/08/2007
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