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Individual

JOHN J SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
172 MIDDLESEX AVE, WILMINGTON, MA 01887-2737
(978) 658-4432
(978) 658-5751
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899

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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