Individual
DR. MARY ANNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8869
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8869
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003582
—
MA
Enumeration date
07/26/2006
Last updated
11/16/2010
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